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
Update your record
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