Individual
PEDRO FRANCO TACTACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
249 ROOSEVELT AVE, SUITE 205, PAWTUCKET, RI 02860-2134
(401) 724-8400
(401) 365-1100
Mailing address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 553-1033
(401) 861-8696
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 10002
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT44450
—
RI
Enumeration date
08/08/2006
Last updated
07/09/2007
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