Individual
DR. AUGUSTINE ALBERT MANOCCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 BROAD ST, PROVIDENCE, RI 02907-1444
(401) 274-6347
Mailing address
12 CASANDRA LN, NORTH KINGSTOWN, RI 02852-3410
(401) 528-7634
(401) 459-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD7311
RI
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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