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Individual

DR. MERCEDES PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4200
Mailing address
22 LAUREL ST APT 16, SOMERVILLE, MA 02143-2840
(603) 828-2293

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13437
NH
207R00000X
Internal Medicine Physician
250361
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD14577
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30206732
NH
Enumeration date
05/17/2006
Last updated
06/06/2014
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