Individual
JANIS LEE BACCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1524 ATWOOD AVE, SUITE 110, JOHNSTON, RI 02919
(401) 274-2910
(401) 274-8907
Mailing address
1524 ATWOOD AVE, SUITE 110, JOHNSTON, RI 02919
(401) 274-2910
(401) 274-8907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9804
RI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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