Individual
DR. PETER KARCZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4070
(401) 649-4071
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD07447
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD07447
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110175069
RR MEDICARE
RI
05
—
7004233
—
RI
01
—
709004158
GROUP MEDICARE
RI
Enumeration date
09/29/2005
Last updated
01/03/2023
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