Lydia Ciarallo in Providence - Pediatric Emergency Medicine

Lydia Ciarallo - NPI 1740390228

Lydia Ciarallo is a Pediatric Emergency Medicine in Providence, Rhode Island. Lydia Ciarallo practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Lydia Ciarallo is 1740390228. The last update date is 2013-09-17.

Lydia Ciarallo's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4018542504 and fax number 4018542519. The mailing address for Lydia Ciarallo is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Lydia Ciarallo
Address 593 Eddy St, Providence, Rhode Island
Phone Number 4018542504
Fax Number 4018542519
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740390228
Provider Enumeration Date 2006-08-30
Last Updated Date 2013-09-17

Provider Mailing Address Detail

Address 593 Eddy St
City Providence
State Rhode Island (RI)
Post Code 29034923
Phone Number 4018542504
Fax Number 4018542519

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 2080P0204X
Licence No MD 08720
Definition:
A pediatrician who has special qualifications to manage emergencies in infants and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2009-04-15 00:0 RI UNITED HEALTHCARE
2009-11-12 00:0 RI NHPRI
939025129 RI RI MEDICARE GROUP NUMBER
7005767 RI RI MEDICARE
3184692 MA MA MEDICAID
1740390228 RI NPI
7004646 RI --
2008-12-29 00:0 MA TUFTS HEALTH PLAN
405830 RI BCBSRI

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FAQs about Lydia Ciarallo

What is the Lydia Ciarallo's 1740390228?

The Lydia Ciarallo's NPI (National Provider Identifier) Number is 1740390228. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lydia Ciarallo?

The Lydia Ciarallo is physically situated at 593 Eddy St, in the city of Providence, state of RI, with the postal code 29034923.

What is Lydia Ciarallo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lydia Ciarallo is Pediatric Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 2080P0204X.

On what date did the Lydia Ciarallo receive its 1740390228 assignment from the Centers for Medicare & Medicaid Services?

The Lydia Ciarallo was assigned its 1740390228 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information regarding Lydia Ciarallo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lydia Ciarallo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-17.

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