Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 72525 | MA |
NPI | 1053347914 |
---|---|
Provider Name | Dr. Richard Louis Zaniewski |
First Address | Salem, MA 01970 |
Second Address | Salem, MA 01970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3074323 | (05) | MA |
E68812 | (02) | MA |