Individual
DR. VINCENT A CATALLOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 QUAKER LN, WEST WARWICK, RI 02893-2283
(401) 828-7110
(401) 827-6364
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD06163
RI
208800000X
Urology Physician
Primary
MD06163
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074839
COVENTRY
RI
01
—
4556831
AETNA
RI
01
—
4767305
CIGNA
RI
05
—
7005300
—
RI
01
—
AA336910
HARVARD PILGRIM
RI
01
—
P01277532
RAILROAD MCR
RI
Enumeration date
06/21/2005
Last updated
12/11/2020
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