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Individual

MARCELA ZEBEDE BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
455 TOLL GATE ROAD, WARWICK, RI 02886
(401) 737-7010
Mailing address
28 LINCOLN AVENUE, PROVIDENCE, RI 02906-5708
(401) 225-7522
(401) 732-1592

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10179
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000021209
BLUE CROSS BLUE SHIELD
RI
05
9020925
RI
Enumeration date
10/12/2006
Last updated
07/08/2007
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