Healthcare Provider Details

I. General information

NPI: 1659547321
Provider Name (Legal Business Name): JEANNE E. ZITER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLINTON ST FL 4
WOONSOCKET RI
02895-3207
US

IV. Provider business mailing address

450 CLINTON ST FL 4
WOONSOCKET RI
02895-3207
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-4100
  • Fax:
Mailing address:
  • Phone: 401-767-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD09316
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: