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Organization

MILL RIVER PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA VIEHMANN MD (PHYSICIAN DIRECTOR)
(401) 728-9201
Entity
Organization

Contact information

Practice address
126 PROSPECT ST, PAWTUCKET, RI 02860-4429
(401) 728-9201
(401) 723-4944
Mailing address
126 PROSPECT ST, PAWTUCKET, RI 02860-4429
(401) 728-9201
(401) 723-4944

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD07737
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD07737
LICENCE NUMBER
RI
Enumeration date
01/24/2007
Last updated
08/22/2020
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