Individual
DR. BERNARD V. MARZILLI, JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
60 WELLS ST, WESTERLY, RI 02891-2924
(401) 596-6400
Mailing address
60 WELLS ST, WESTERLY, RI 02891-2924
(401) 596-6400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-329
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003029
—
RI
Enumeration date
10/17/2006
Last updated
06/15/2010
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