Individual
DR. ANTHONY G BRUZZESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 TOLL GATE RD, STE 101A, WARWICK, RI 02886-4416
(401) 738-3100
(401) 738-8505
Mailing address
215 TOLL GATE RD 109, WARWICK, RI 02886-4458
(401) 738-3100
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD05993
RI
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
MD05993
RI
2085N0700X
Neuroradiology Physician
MD05993
RI
2085N0904X
Nuclear Radiology Physician
MD05993
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD05993
RI
2085R0204X
Vascular & Interventional Radiology Physician
MD05993
RI
2085U0001X
Diagnostic Ultrasound Physician
MD05993
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000361
BLUE CHIP
RI
01
—
005993
TUFTS HEALTH PLAN
RI
01
—
1198-5
BCBS OFFICE PROVIDER NO
RI
01
—
1570-5
BCBS KENT PROVIDER NO
RI
01
—
16-00137
UNITED HEALTHCARE
RI
01
—
2203
NEIGHBORHOOD HLTH PLAN
RI
01
—
300067258
RAILROAD MEDICARE
RI
01
—
4747918
CIGNA
RI
01
—
50356624
UNICARE LIFE & HEALTH INS
RI
01
—
5055327
AETNA
RI
05
—
7000271
—
RI
01
—
AA42213
HARVARD PILGRIM HEALTH
RI
Enumeration date
08/09/2006
Last updated
09/23/2015
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