Individual
PHILIP R RIZZUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 DUDLY ST, SUITE 301, PROVIDENCE, RI 02905
(401) 274-6622
(401) 490-7051
Mailing address
120 DUDLY ST, SUITE 301, PROVIDENCE, RI 02905
(401) 274-6622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD08913
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25630
BLUE SHIELD
RI
01
—
3190323
WELFARE
—
01
—
401138
BLUECROSS
RI
05
—
9025630
—
RI
Enumeration date
02/08/2006
Last updated
11/28/2007
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