Individual
RICHARD J ZIENOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST, STE 380, PROVIDENCE, RI 02905-3236
(401) 453-0120
(401) 453-0198
Mailing address
2 DUDLEY ST, STE 380, PROVIDENCE, RI 02905-3236
(401) 453-0120
(401) 453-0198
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
RI7991
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200967
BLUESHIELD
RI
01
—
202254
BLUE CHIP
RI
05
—
9020096
—
RI
Enumeration date
06/29/2006
Last updated
05/08/2008
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