Individual
DR. MARY ANN C PASSERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 DUDLEY ST, SUITE 203, PROVIDENCE, RI 02905-2436
(401) 331-8787
(401) 455-0256
Mailing address
120 DUDLEY ST, SUITE 203, PROVIDENCE, RI 02905-2436
(401) 331-8787
(401) 455-0256
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
5061
RI
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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