Individual
DR. NICKOLAS MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2695
(401) 444-4165
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 444-4000
(401) 427-7795
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD20000
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2020
Last updated
07/01/2024
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