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Organization
BAYSIDE OB/GYN, INC.
Active
Organization
BAYSIDE OB/GYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA A IACOBBO (PRACTICE MANAGER)
(401) 421-1710
Entity
Organization
Contact information
Practice address
235 PLAIN ST, 201, PROVIDENCE, RI 02905-3240
(401) 421-1710
(401) 861-2164
Mailing address
235 PLAIN ST, 201, PROVIDENCE, RI 02905-3240
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD6286
RI
Other
Enumeration date
03/16/2007
Last updated
01/07/2008
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