Individual
MICHAEL PETER MARIORENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 RESERVOIR AVE, #101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Mailing address
725 RESERVOIR AVE, #101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD07595
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093701948
DURABLE EQUIPMENT
RI
01
—
208194
BLUE CHIP
RI
01
—
32166-6
RI BLUE CROSS
RI
05
—
7000833
—
RI
Enumeration date
09/26/2005
Last updated
01/16/2010
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