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Individual

PETER R. POGACAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1377 S COUNTY TRL, SUITE 2B, EAST GREENWICH, RI 02818-5082
(401) 884-8900
(401) 884-9199
Mailing address
1377 S COUNTY TRL, SUITE 2B, EAST GREENWICH, RI 02818-5082
(401) 884-8900
(401) 884-9199

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 11655
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000023951
BC/BS-RI
RI
01
31222
NHP-RI
RI
01
3817423
CIGNA
RI
01
3867308
AETNA/US HEALTHCARE HMO
RI
01
412754
BC/BS-RI BLUE CHIP
RI
01
478754
TUFTS
RI
01
7666682
AETNA/ US HEALTHCARE
RI
01
AA38905
HPHC
RI
Enumeration date
03/16/2006
Last updated
07/08/2007
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