Provider Demographics
NPI:1821082777
Name:PUERINI, ALBERT JOSEPH JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:JOSEPH
Last Name:PUERINI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:725 RESERVOIR AVE.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910
Mailing Address - Country:US
Mailing Address - Phone:401-943-6910
Mailing Address - Fax:401-946-5130
Practice Address - Street 1:725 RESERVOIR AVE.
Practice Address - Street 2:SUITE 102
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910
Practice Address - Country:US
Practice Address - Phone:401-943-6910
Practice Address - Fax:401-946-5130
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2016-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI5719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0100147OtherUNITED HEALTH CARE
RI260OtherBLUE CROSS BLUE SHIELD RI
RI001815OtherBLUE CHIP RHODE ISLAND
RI0668028OtherCIGNA HEALTHCARE
RI9000260Medicaid
RI404266OtherTUFTS HEALTH PLAN MA
RI0100147OtherUNITED HEALTH CARE
RI9000260Medicaid