Individual
DR. STEPHEN V PANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12313
RI
207L00000X
Anesthesiology Physician
Primary
MD12313
RI
208600000X
Surgery Physician
219633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407835
TUFTS HEALTH PLAN
MA
01
—
J29144
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
10/03/2013
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