Provider Demographics
NPI:1053347914
Name:ZANIEWSKI, RICHARD LOUIS (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LOUIS
Last Name:ZANIEWSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL
Mailing Address - Street 2:DOVE AVE.
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-825-8675
Mailing Address - Fax:978-745-9062
Practice Address - Street 1:SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL
Practice Address - Street 2:DOVE AVE.
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-825-8675
Practice Address - Fax:978-745-9062
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA72525208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3074323Medicaid
MA3074323Medicaid
MAJ10516Medicare ID - Type Unspecified