Individual
PHILIP R RIZZUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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