Individual
MARK C. ZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 KENYON AVE, SUITE 211, WAKEFIELD, RI 02879-4239
(401) 789-8543
(401) 782-8766
Mailing address
70 KENYON AVE, SUITE 211, WAKEFIELD, RI 02879-4239
(401) 789-8543
(401) 782-8766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06480
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028143
BMC HEALTHNET
MA
01
—
0101102
UHC
—
01
—
052518
TUFTS
MA
05
—
3043355
—
MA
01
—
35998
FALLON
MA
01
—
400988
RI BLUE CHIP
—
01
—
710716
HPHC
MA
01
—
B10350101
CIGNA
MA
01
—
J11769
MABC
MA
Enumeration date
08/11/2006
Last updated
04/01/2015
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