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Individual

DR. ROBERT ALEXANDER MARZILLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1524 ATWOOD AVE, STE. NO. 433, JOHNSTON, RI 02919-3228
(401) 861-2190
Mailing address
33 SWEET HILL DR, JOHNSTON, RI 02919-2231
(401) 231-5717

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00233
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61-08838
UNITED HEALTHCARE
RI
01
9234-0
RI BLUE CROSS
RI
01
CP00409526-001
RI BLUE CHIP
RI
Enumeration date
03/18/2007
Last updated
07/08/2007
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