Individual
MR. PHILIP W ZINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1524 ATWOOD AVE, SUITE 245, JOHNSTON, RI 02919-3228
(401) 521-6080
(401) 521-6092
Mailing address
1539 ATWOOD AVE, SUITE 201, JOHNSTON, RI 02919-3262
(401) 521-6080
(401) 521-6092
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CPA00014
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156-4
BLUE CROSS
RI
01
—
407350
BLUE CHIP
RI
01
—
41D0695381
CLIA
—
Enumeration date
11/17/2005
Last updated
01/02/2009
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