Individual
MRS. CELESTE C CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-4471
(401) 444-7574
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6598
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639105810
—
RI
Enumeration date
06/23/2006
Last updated
06/28/2018
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