Zullo, Mark C.

Zullo, Mark C. is an individual health care provider with primary practice located at 70 Kenyon Ave Suite 211, Wakefield RI 02879-4239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zullo, Mark C. can be contacted via phone (401) 789-8543.

Contact Information

Primary practice address
70 Kenyon Ave Suite 211 Wakefield RI 02879-4239
Phone: (401) 789-8543
Fax: (401) 782-8766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 06480 Rhode Island

Profile Details

NPI number 1588675698
LBN Legal business name Zullo, Mark C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 1st, 2015 - about 9 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 1588675698 NPPES
Massachusetts Other J11769 MABC
Massachusetts Other 052518 MABC
Massachusetts Other 35998 MABC
Massachusetts Other 0101102 MABC
Massachusetts Other 400988 MABC
Massachusetts Other B10350101 MABC
Massachusetts Other 000000028143 MABC
Massachusetts MEDICAID 3043355 MABC
Massachusetts Other 710716 MABC

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