Individual
DR. CRISTINA MOTA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-0523
Mailing address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-0523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14750
RI
207Q00000X
Family Medicine Physician
256850
MA
Other
Enumeration date
06/24/2010
Last updated
08/12/2014
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