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Individual

BRYANT MOROCHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
152 PARRISH ST, WILKES BARRE, PA 18702-4615

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20716
RI
2086X0206X
Surgical Oncology Physician
MD20716
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/31/2020
Last updated
01/14/2026
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