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Individual

DR. TODD VICCIONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1351 S COUNTY TRL, SUITE 115, EAST GREENWICH, RI 02818-5079
(401) 884-0333
(401) 884-0096
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10037
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-02334
UNITED HEALTH CARE
RI
01
050483739
GREAT WESTERN HEALTH CARE
RI
01
110196402
RAILROAD MEDICARE
RI
01
12117948
MULTI PLAN
RI
01
2282125
AETNA
RI
01
2760-5
BCBS OF RI
RI
01
404496
TUFTS HEALTH PLAN
RI
01
405285
BLUE CHIP
RI
01
4091
NEIGHBORHOOD HEALTH PLAN
RI
01
694204
HARVARD HEALTH CARE
RI
01
709003943
MEDICARE GROUP
RI
01
710037701
CIGNA
RI
05
9002760
RI
Enumeration date
09/29/2005
Last updated
02/04/2011
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