Organization
NARRAGANSETT BAY PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTE C. CORCORAN M.D. (PRESIDENT)
(401) 789-5924
Entity
Organization
Contact information
Practice address
70 KENYON AVE, SUITE 101, WAKEFIELD, RI 02879-4239
(401) 789-5924
(401) 782-1770
Mailing address
70 KENYON AVE, SUITE 101, WAKEFIELD, RI 02879-4239
(401) 789-5924
(401) 782-1770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0668
NEIGHBORHOOD HEALTH PLAN
RI
01
—
155-7
BLUE CROSS GROUP NUMBER
RI
01
—
201468
BLUE CHIP GROUP NUMBER
RI
05
—
NB04039
—
RI
Enumeration date
02/13/2007
Last updated
08/22/2020
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