NPI 1053543405
Ray Rezania
Practice location
- Address
- 1055 South Broadway, East Providence, RI 02914
- Phone
- (401) 438-0200
- Fax
- (401) 438-0211
- Mailing address
- 1055 B South Broadway Street, East Providence, RI 02914
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1053543405
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Aug 2009
- Record last updated
- 24 Jul 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.