Individual
KENNETH ROCEO CATALLOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2138 MENDON RD, CUMBERLAND, RI 02864
(401) 944-3800
(401) 943-3129
Mailing address
725 RESERVOIR AVE, CRANSTON, RI 02910-4450
(401) 944-3800
(401) 943-3129
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD06517
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417943291
DURABLE
RI
01
—
201865
BLUE CHIP
RI
01
—
321675
BLUE CROSS
RI
05
—
KC26497
—
RI
Enumeration date
09/27/2005
Last updated
08/18/2010
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