Provider Demographics
NPI:1841259496
Name:RYMZO, WALTER T JR (MD)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:T
Last Name:RYMZO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:40 QUINLAN WAY
Mailing Address - Street 2:BAY INTERNAL MEDICINE STE 206
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-778-8835
Mailing Address - Fax:508-790-8989
Practice Address - Street 1:40 QUINLAN WAY
Practice Address - Street 2:BAY INTERNAL MEDICINE STE 206
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-778-8835
Practice Address - Fax:508-790-8989
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA34150207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2053888Medicaid
MAL15105OtherBCBS
MA6438OtherHPHC
MA2053888Medicaid
MA6438OtherHPHC