Individual
DR. JOSEPH ANTHONY IZZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST STE 200, PROVIDENCE, RI 02905
(401) 457-1500
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 443-4150
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD10533
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901519
UNITED HEALTH PROVIDER#
RI
01
—
26916001
BLUE CROSS RI PROVIDER#
RI
05
—
7008832
—
RI
Enumeration date
09/27/2006
Last updated
09/04/2018
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