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Individual

WILLIAM BORTCOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0330

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
257254
MA
208000000X
Pediatrics Physician
Primary
MD18881
RI
2080P0203X
Pediatric Critical Care Medicine Physician
ME136330
FL

Other

Enumeration date
06/03/2011
Last updated
11/25/2022
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