| Doctor Name: | DR. RICHARD LEWIS ROSOL |
| NPI Number: | 1417982604 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD14760 |
| Business Practice Address: | 226 Atwells Ave Providence, RI - 029031528 |
| Business Phone Number: | 2077780482 |
| Business Fax Number: | 2077792303 |
| Mailing Address: | 226 Atwells Ave, PROVIDENCE |
| State: | RI |
| Postal Code: | 029031528 |
| Phone Number: | 4012170077 |
| Fax Number: | 4012170079 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD14760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |