Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 264365 | NY |
Y | 2080P0210X | Pediatric Nephrologist | MD21830 | ME |
NPI | 1194042481 |
---|---|
Provider Name | Dr. Ronald Zviti |
First Address | Portland, ME 04102-3103 |
Second Address | Portland, ME 04102-3103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 02/10/2017 |