Organization
MICHAEL J BACCARI,MD.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN RIANNA (OFFICE MANAGER)
(401) 942-6500
Entity
Organization
Contact information
Practice address
677 ATWOOD AVE, CRANSTON, RI 02920-5322
(401) 942-6500
(401) 942-6505
Mailing address
677 ATWOOD AVE, CRANSTON, RI 02920-5322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD3720
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000050
—
RI
Enumeration date
06/26/2008
Last updated
06/26/2008
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