Individual
JOSEPH RENZULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 COLLYER ST, SUITE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
(401) 272-9299
Mailing address
PO BOX 208058, NEW HAVEN, CT 06520-8058
(203) 737-7652
(203) 785-4043
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
60085
CT
208800000X
Urology Physician
Primary
MD11757
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659463230
GROUP NPI
RI
01
—
33583
BLUE SHIELD
RI
01
—
349005986
MEDICARE GROUP PTAN
RI
05
—
9004842
—
RI
Enumeration date
06/05/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us