Organization
PROVIDENCE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAWRENCE DVORIN M.D. (PRESIDENT)
(401) 421-9000
Entity
Organization
Contact information
Practice address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 421-9000
(401) 421-5588
Mailing address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 421-9000
(401) 421-5588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
RI
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
Update your record
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