Individual
JOHN CZERWEIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919-3228
(401) 351-6200
(401) 351-6201
Mailing address
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919-3228
(401) 351-6200
(401) 351-6201
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD12647
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7508801243
SELECTIVE SERVICE
—
05
—
JC72321
—
RI
Enumeration date
11/26/2007
Last updated
11/20/2017
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