Individual
DR. BRUNO MOURAO PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
(401) 444-3056
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-2513
(401) 444-6858
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
LP05700
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
05700
RI
Other
Enumeration date
06/13/2022
Last updated
07/18/2023
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