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Contact Information

PAUL E SYDLOWSKI MD LLC
576 METACOM AVE
UNIT 11A
BRISTOL, RI02809-5100
 Phone: 401-253-4300
 Fax: 401-253-9217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PAUL E SYDLOWSKI MD LLC

NPI # 1659560902
LBN Legal business name PAUL E SYDLOWSKI MD LLC
Authorized official PAUL SYDLOWSKI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 10/22/2007 - About 19 years ago
Identifiers
RI License # 04705
RI Medicaid PS50992
MA Other 740007 TUFTS HEALTH PLAN
RI Other 0000026591 BLUE SHIELD OF RHODE ISLA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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