Individual
DR. STEPHANIE M PEDUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 MEEHAN LN, CUMBERLAND, RI 02864-1413
(401) 658-2525
(401) 658-3031
Mailing address
2 MEEHAN LN, CUMBERLAND, RI 02864-1413
(401) 658-2525
(401) 658-3031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD09602
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9094598
—
RI
05
—
PY01057
—
RI
Enumeration date
06/14/2005
Last updated
11/20/2013
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