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Individual

JOHN F ZWETCHKENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1056 HOPE ST, PROVIDENCE, RI 02906-5026
(401) 751-1235
(401) 751-4744
Mailing address
1056 HOPE ST, PROVIDENCE, RI 02906-5026
(401) 751-1235
(401) 751-4744

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD07704
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9002909
RI
Enumeration date
07/18/2005
Last updated
02/21/2008
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