Individual
ANNMARIE JURCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1377 S COUNTY TRL UNIT 2A, EAST GREENWICH, RI 02818
(401) 606-3000
(401) 331-8110
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD11667
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060687
MEDICARE PTAN
RI
05
—
7057363
—
RI
Enumeration date
07/16/2006
Last updated
11/16/2018
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