Charles R Rardin
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
101 Dudley St
Providence
, Rhode Island 02905-2401
Charles R Rardin
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
101 Dudley St
Providence
, Rhode Island 02905-2401
(401) 274-1100
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Charles R Rardin
- 101 Dudley St
- Providence, RI
- Zip : 02905-2401
- Phone : (401) 274-1100
Second Address
- Charles R Rardin
- 101 Dudley St
- Providence, RI
- Zip : 02905-2401
- Phone : (401) 274-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | MD11196 | RI |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD11196 | RI |
National Provider Identifier
| NPI | 1497788657 |
|---|---|
| Provider Name | Charles R Rardin |
| First Address | Providence, RI 02905-2401 |
| Second Address | Providence, RI 02905-2401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 22/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1497788657 | (05) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.