Lydia Ciarallo
MD | Pediatric Emergency Medicine | Female
Lydia Ciarallo, MD is a Providence, Rhode Island based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Lydia Ciarallo is
593 Eddy St, Claverick 2, Providence, Rhode Island - 02903-4923. She can be contacted on phone at
401-854-2504 and fax number 401-854-2519.
Lydia Ciarallo is a sole proprietor of her business.
NPI number (Unique professional ID) for Lydia Ciarallo is
1740390228 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 17 Sep, 2013.
Lydia Ciarallo license number is
MD 08720 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Rhode Island.
Lydia Ciarallo has special qualifications to manage emergencies in infants and children.
Complete Profile:
Lydia Ciarallo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Lydia Ciarallo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lydia Ciarallo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 593 Eddy St, Claverick 2
Providence, RI, 02903-4923
United States |
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| Phone Number : | 401-854-2504 |
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| Fax Number : | 401-854-2519 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740390228 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2006 |
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| Last Updated On : | 17 Sep, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lydia Ciarallo are as mentioned. Primary taxonomy code for Lydia Ciarallo, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD 08720 | RI |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD 08720 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Lydia Ciarallo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 405830 | Other | RI | BCBSRI |
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| 1740390228 | Other | RI | NPI |
| 3184692 | Other | MA | MA MEDICAID |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| 11/12/2009 | Other | RI | NHPRI |
| 007005767 | Other | RI | RI MEDICARE |
| 7004646 | MEDICAID | RI | |
| 12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9484
Providence, RI, 02940-9484
United States |
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| Phone Number : | 401-854-2500 |
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| Fax Number : | 401-854-2519 |
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Business Location:
Patients can refer following map for directions to
Lydia Ciarallo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.