Provider Demographics
NPI:1174658462
Name:ANDREOZZI, ROCCO JOSEPH JR
Entity Type:Individual
Prefix:MR
First Name:ROCCO
Middle Name:JOSEPH
Last Name:ANDREOZZI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 PARK AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2722
Mailing Address - Country:US
Mailing Address - Phone:401-461-0009
Mailing Address - Fax:401-941-8173
Practice Address - Street 1:935 PARK AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2722
Practice Address - Country:US
Practice Address - Phone:401-461-0009
Practice Address - Fax:401-941-8173
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI3237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI400939OtherBLUE CHIP PROVIDER NO.