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Contact Information

LYDIA CIARALLO, MD
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI02903-4923
 Phone: 401-854-2504
 Fax: 401-854-2519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LYDIA CIARALLO · (Female)

NPI Number 1740390228
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 09/17/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD 08720
  • RI Medicaid 7004646
  • MA Other 3184692 MA MEDICAID
  • MA Other 12/29/2008 TUFTS HEALTH PLAN
  • RI Other 405830 BCBSRI
  • RI Other 11/12/2009 NHPRI
  • RI Other 1740390228 NPI
  • RI Other 007005767 RI MEDICARE
  • RI Other 939025129 RI MEDICARE GROUP NUMBER
  • RI Other 04/15/2009 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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