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NPI Verification

National Provider Identifier: 1912079500

Leonard R Bertheau, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Code: 207QD0401X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Code: 207QD0401X

Primary

Practice Address

455 TOLL GATE RD

WARWICK, RI 028862759

Phone: 401-273-0641

NPI Enumeration Date

November 15, 2006

NPI Number

1912079500

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry