Provider Demographics
NPI:1508992694
Name:ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND INC
Entity Type:Organization
Organization Name:ASTHMA & ALLERGY PHYSICIANS OF RHODE ISLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZWETCHKENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-751-4744
Mailing Address - Street 1:1056 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5026
Mailing Address - Country:US
Mailing Address - Phone:401-751-1235
Mailing Address - Fax:401-751-4744
Practice Address - Street 1:470 TOLL GATE RD STE 203
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2741
Practice Address - Country:US
Practice Address - Phone:401-751-1235
Practice Address - Fax:401-751-4744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07704207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIAA43354Medicaid
RIAA43354Medicaid