Providence Pediatrics

NPI #1184784795 in Providence, Rhode Island

Provider Information

NPI Number: 1184784795
Entity Type: Organization
Organization Name: Providence Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Dec 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 293 GOVERNOR ST
City: Providence
State: Rhode Island
ZIP Code: 02906-3220
Phone: (401) 421-9000

Authorized Official

Name: DR. RICHARD LAWRENCE DVORIN, M.D.
Title: PRESIDENT
Phone: (401) 421-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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