Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | L4983 | RI |
NPI | 1124059936 |
---|---|
Provider Name | Michael Edward Spizzirri |
First Address | Woonsocket, RI 02895 |
Second Address | Woonsocket, RI 02895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 13/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002165 | HMO OF RI (01) | |
0700127 | UNITED HEALTH CARE (01) | |
14986 | RIBC (01) | |
715529 | TUFTS (01) | |
9001498 | (05) | RI |
AA2474 | PILGRIM HEALTH (01) | |
C89997 | (02) |