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NPI Code Detail

MEDICARE: DR. CHRISTINA C DIEROLF MD

MEDICARE:  DR. CHRISTINA C DIEROLF  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD08861RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750388393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA C DIEROLF MD
Provider Business Mailing Address
First Line : 50 MEMORIAL BLVD
Second Line : AQUIDNECK MEDICAL ASSOCIATES, INC
City : NEWPORT
State : RI
Zip : 02840-3587
Country : US
Telephone Number : 401-683-2290
Fax Number : 401-849-8446
Provider Business Practice Location Address
First Line : 77 TURNPIKE AVE
Second Line : AQUIDNECK MEDICAL ASSOCIATES, INC
City : PORTSMOUTH
State : RI
Zip : 02871-1419
Country : US
Telephone Number : 401-683-2290
Fax Number : 401-849-8446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/30/2015

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Directions to “ DR. CHRISTINA C DIEROLF MD” Practice Location

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