Provider Demographics
NPI:1184686388
Name:ZINNO, RONALD P (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:P
Last Name:ZINNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ELLIOT WAY
Mailing Address - Street 2:WOUND MANAGEMENT - ELLIOT HOSPITAL
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3502
Mailing Address - Country:US
Mailing Address - Phone:603-663-3630
Mailing Address - Fax:603-663-3669
Practice Address - Street 1:1 ELLIOT WAY
Practice Address - Street 2:WOUND MANAGEMENT - ELLIOT HOSPITAL
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3502
Practice Address - Country:US
Practice Address - Phone:603-663-3630
Practice Address - Fax:603-663-3669
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11147207PE0005X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH21694OtherHPHC PIN
NH30201371Medicaid
NH01Y003292NH02OtherANTHEM ACES #
NH3192756OtherAETNA PIN
NH750164OtherTUFTS PIN
NH669761OtherCIGNA PIN
NH30201371Medicaid
NH669761OtherCIGNA PIN