Individual
DENNIS L PRIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 CASS AVE, HOSPITAL BASED - LANDMARK MEDICAL CENTER, WOONSOCKET, RI 02895
(401) 769-4100
(401) 767-1631
Mailing address
1840 MINERAL SPRING AVE, SUITE 105, NORTH PROVIDENCE, RI 02904-7645
(401) 354-4900
(401) 354-8535
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD07730
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31237
NEIGHBORHOOD HEALTH GRP
—
01
—
3412
GROUP BLUE SHIELD
RI
01
—
405174
BLUECHIP
RI
05
—
7007112
—
RI
Enumeration date
08/14/2006
Last updated
07/08/2007
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