Organization
CONCILIO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMALIA CONCILIO (MANAGER)
(401) 334-2949
Entity
Organization
Contact information
Practice address
132 OLD RIVER RD, SUITE 203, LINCOLN, RI 02865-1161
(401) 334-2949
(401) 334-0867
Mailing address
132 OLD RIVER RD, SUITE 203, LINCOLN, RI 02865-1161
(401) 334-2949
(401) 334-0867
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD08172
RI
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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