Individual
FORTUNATO PROCOPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 BUTTERFIELD RD, POTTER BLDG, KINGSTON, RI 02881
(401) 874-2246
(401) 874-2586
Mailing address
44 HICKORY DR, EAST GREENWICH, RI 02818-2516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7228
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FP04316
—
RI
Enumeration date
09/08/2006
Last updated
07/08/2007
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