Individual
BRIDGET M. WIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
239 CRANSTON ST, PROVIDENCE, RI 02907-2406
(401) 444-0580
(401) 444-0428
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
17125
NH
208000000X
Pediatrics Physician
285507
NY
208000000X
Pediatrics Physician
Primary
MD17889
RI
Other
Enumeration date
04/25/2012
Last updated
07/02/2021
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