# PHILIP R RIZZUTO, MD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548442338
- **Authorized official:** PHILIP RAYMOND RIZZUTO MD (PRESIDENT)
- **Authorized official phone:** (401) 274-6622

## Contact information

- **Practice address:** 120 DUDLEY ST, SUITE 301, PROVIDENCE, RI 02905-2436
- **Practice address phone:** (401) 274-6622
- **Practice address fax:** (401) 490-7068
- **Mailing address:** 120 DUDLEY ST, SUITE 301, PROVIDENCE, RI 02905-2436
- **Mailing address phone:** (401) 274-6622
- **Mailing address fax:** (401) 490-7068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 8913 | RI | Yes |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 12/04/2007