Individual
DR. URSULINA L BENCOSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
239 CRANSTON ST, PROVIDENCE, RI 02907
(401) 444-0580
(401) 444-0428
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
217077
NY
208000000X
Pediatrics Physician
Primary
MD16633
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02133420
—
NY
Enumeration date
07/14/2006
Last updated
12/14/2023
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