Individual
RANDAL ROCKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, LOWER LEVEL, PROVIDENCE, RI 02903-4923
(401) 444-4691
(401) 444-7574
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
06945
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RR01779
—
RI
Enumeration date
05/23/2006
Last updated
02/04/2008
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