Individual
MARA COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD7682
RI
Other
Enumeration date
06/20/2006
Last updated
07/10/2024
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