Provider Demographics
NPI:1962485490
Name:ZIPIN, STEVEN B (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:ZIPIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-438-5950
Mailing Address - Fax:401-435-2561
Practice Address - Street 1:318 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914
Practice Address - Country:US
Practice Address - Phone:401-438-5950
Practice Address - Fax:401-435-2561
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD4717207RN0300X
MA55697207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI002476OtherBLUE CHIP
RI7000734Medicaid
RI4717OtherBLUE CROSS
MAJ11319OtherBLUE CROSS
004717OtherTUFTS
390001780OtherRAILROAD
10016RIHOtherHARVARD PILGRIM
MA3085911Medicaid
3100108OtherUNITED
0399133002OtherCIGNA
1030OtherNEIGHBORHOOD HEALTH
MAJ11319OtherBLUE CROSS
MA3085911Medicaid
390001780OtherRAILROAD