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Individual

MARCELLE L PICCOLELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
8621
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD08621
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001988
NHPRI
01
003111523
CT MED ASSISTANCE
01
004953
BLUE CHIP
01
008621
BLUE SHIELD
01
07003962
HOSPITAL PIN
01
1600203
UNITED HEALTH PLANS
01
240155
W & I PILGRIM
01
300067429
RAILROAD MEDICARE
01
3202330
MASSMEDICAID
01
7003962
RIMEDICALASSISTANCE
01
720051601
CIGNA
Enumeration date
11/30/2005
Last updated
03/25/2019
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