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Organization

EAST SIDE PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM J MOROCCO MD (OWNER)
(508) 801-7817
Entity
Organization

Contact information

Practice address
75 NEWMAN AVE FL 1, RUMFORD, RI 02916-1945
(401) 453-0666
Mailing address
154 WATERMAN AVE, PROVIDENCE, RI 02911-1030

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/21/2007
Last updated
01/10/2008
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