Individual
DR. TINA RIZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
85 KENYON AVE, WAKEFIELD, RI 02879-4213
(401) 783-6670
(401) 789-4990
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-3337
(401) 783-1872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217542
MA
207R00000X
Internal Medicine Physician
MD10782
RI
207RH0003X
Hematology & Oncology Physician
Primary
MD10782
RI
Other
Enumeration date
10/20/2005
Last updated
10/24/2016
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