Organization
RICHARD P. IACOBUCCI MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE R. REBELLO (BILLING SPECIALIST)
(401) 353-4936
Entity
Organization
Contact information
Practice address
1635 MINERAL SPRING AVE, SUITE #200, NORTH PROVIDENCE, RI 02904-4025
(401) 353-4936
(401) 270-3304
Mailing address
1635 MINERAL SPRING AVENUE, SUITE #200, NO. PROVIDENCE, RHODE ISLAND 02904
(401) 353-4936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002331
—
RI
Enumeration date
08/22/2007
Last updated
08/22/2007
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