Individual
MRS. MARGARITA LAPORTE BOMFIM BOCKORNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 EAST AVE, SUITE 250, PAWTUCKET, RI 02860-5290
(401) 351-2280
(401) 721-5709
Mailing address
407 EAST AVE, SUITE 250, PAWTUCKET, RI 02860-5290
(401) 351-2280
(401) 721-5709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15334
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801103650
—
RI
Enumeration date
08/31/2010
Last updated
10/12/2016
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