Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Joseph Mazzaglia, MD

Individual provider Surgery Physician · NPI 1639103617

Peter Joseph Mazzaglia, MD is a General Surgery in Providence, Rhode Island. Graduated from University of Massachusetts Medical School in 1993, 33 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and offers telehealth. Licensed in Rhode Island.

Years since qualifying
33
Trained at
University of Massachusetts Medical School
Licensed in
RI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Dudley St Ste 470
Providence, RI 02905-3236
Phone: (401) 223-0962
Fax: (401) 861-1272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD12186 (RI)

Record details

NPI number1639103617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 1993 (33 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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