Provider Demographics
NPI:1851314959
Name:LENTRICHIA, PAUL F
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:LENTRICHIA
Suffix:
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:RHODE ISLAND SURGEONS INC
Mailing Address - Street 2:1539 ATWOOD AVENUE SUITE 201
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919
Mailing Address - Country:US
Mailing Address - Phone:401-521-6310
Mailing Address - Fax:401-861-9596
Practice Address - Street 1:RHODE ISLAND SURGEONS INC
Practice Address - Street 2:1539 ATWOOD AVENUE SUITE 201
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919
Practice Address - Country:US
Practice Address - Phone:401-521-6310
Practice Address - Fax:401-861-9596
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI5052208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0000026702OtherRI BLUE CROSS
RI9000412Medicaid
RI001302OtherRI BLUE CHIP
RI0000026702OtherRI BLUE CROSS
RI001302OtherRI BLUE CHIP