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Individual

PAULO R PINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY STREET, HASBRO LOWER LEVEL, PROVIDENCE, RI 02903-4923
(401) 444-4471
(401) 444-7574
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
224827
NY
208000000X
Pediatrics Physician
Primary
MD19578
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02423632
NY
Enumeration date
09/20/2006
Last updated
12/14/2023
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