Doctor Name: | DR. VINCENT JAMES ZIZZA |
NPI Number: | 1528085289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | DO487 |
Business Practice Address: | 400 Bald Hill Rd Warwick, RI - 028861617 |
Business Phone Number: | 4017392984 |
Business Fax Number: | 4017390867 |
Mailing Address: | 176 Toll Gate Road, Suite 301 WARWICK |
State: | RI |
Postal Code: | 028864411 |
Phone Number: | 4017392984 |
Fax Number: | 4017390867 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | DO487 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |