Pediatric Endocrinology Of Rhode Island
Pediatrics, Pediatric Endocrinology in Cranston, RI. Organization (NPI-2).
NPI number1073864591
StatusActive
Last updated in NPPESApr 1, 2014
Details
- NPI
- 1073864591
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Endocrinology Of Rhode Island
- Organization subpart
- No
- Enumeration date
- Sep 24, 2012
- Last updated
- Apr 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0205X | Pediatrics, Pediatric Endocrinology | 11312 | RI | Yes |
Practice location
105 Sockanosset Cross RoadSuite 318
Cranston, RI 02920
Phone 401-434-2058 · Fax 401-633-6854
Mailing address
50 Amaral StEast Providence, RI 02915-2205
Phone 401-434-2058 · Fax 401-633-6854
Authorized official
Rebecca McEachern
Sole Owner/ Medical Director
4014198091
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