Individual
DR. DAVID J LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Mailing address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RI5902
RI
2086S0129X
Vascular Surgery Physician
MD05902
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003671
BLUE CHIP PROVIDER ID
RI
01
—
29066-9
BLUE CROSS PROVIDER ID
RI
05
—
7000782
—
RI
Enumeration date
07/19/2005
Last updated
11/23/2010
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