Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 11147 | NH |
NPI | 1184686388 |
---|---|
Provider Name | Ronald P. Zinno |
First Address | Manchester, NH 03103-3502 |
Second Address | Manchester, NH 03103-3502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 12/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01Y003292NH02 | ANTHEM ACES # (01) | NH |
21694 | HPHC PIN (01) | NH |
30201371 | (05) | NH |
3192756 | AETNA PIN (01) | NH |
669761 | CIGNA PIN (01) | NH |
750164 | TUFTS PIN (01) | NH |
C90357 | (02) |