Individual
RACHAEL BIANCUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 273-0641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO00873
RI
207R00000X
Internal Medicine Physician
LP03145
RI
Other
Enumeration date
06/09/2014
Last updated
12/20/2017
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