Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD8604 | RI |
NPI | 1003916875 |
---|---|
Provider Name | Raymond Paul Zarlengo |
First Address | Providence, RI 02903-4754 |
Second Address | Warwick, RI 02886-4482 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 10/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F78833 | (02) | |
RZ08450 | (05) | RI |