Individual
MARIA TERESA PEREZ CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOPPIN ST, PROVIDENCE, RI 02903-4141
(401) 444-4612
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
270063
MA
2080P0202X
Pediatric Cardiology Physician
Primary
MD17276
RI
Other
Enumeration date
05/19/2014
Last updated
11/11/2020
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