Zonfrillo, Mark Robert

Zonfrillo, Mark Robert is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Zonfrillo, Mark Robert can be contacted via phone (401) 444-4000.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 444-4000
Fax: (401) 427-7795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X MD14967 Rhode Island
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 043923 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD430976 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD14967 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD14967 Rhode Island

Profile Details

NPI number 1235180852
LBN Legal business name Zonfrillo, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 22nd, 2018 - about 6 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 1235180852 NPPES
Rhode Island MEDICAID 1235180852
Rhode Island MEDICAID 110102928A
Rhode Island Other U400222345

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