Organization
PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MCEACHERN MD (SOLE OWNER/ MEDICAL DIRECTOR)
(401) 419-8091
Entity
Organization
Contact information
Practice address
105 SOCKANOSSET CROSS ROAD, SUITE 318, CRANSTON, RI 02920
(401) 434-2058
(401) 633-6854
Mailing address
50 AMARAL ST, EAST PROVIDENCE, RI 02915-2205
(401) 434-2058
(401) 633-6854
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
11312
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3300486
UNITED HEALTHCARE
—
05
—
PE91323
—
RI
Enumeration date
09/24/2012
Last updated
04/01/2014
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