Abrunzo, Nicole M

Abrunzo, Nicole M is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abrunzo, Nicole M can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-114235 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD12710 Rhode Island

Profile Details

NPI number 1336194794
LBN Legal business name Abrunzo, Nicole M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336194794 NPPES
Illinois Other 1992758544 CMMG GROUP NPI
Illinois MEDICAID NA72114 CMMG GROUP NPI
Illinois Other 9/11/2008 CMMG GROUP NPI
Illinois Other 1336194794 CMMG GROUP NPI
Illinois MEDICAID 2159287 CMMG GROUP NPI
Illinois Other 12/29/2008 CMMG GROUP NPI
Illinois Other 007060380 CMMG GROUP NPI
Illinois Other 04/15/2009 CMMG GROUP NPI
Illinois MEDICAID 036114235 CMMG GROUP NPI

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