| Richard P. Iacobucci Md, Inc. | |
|
1635 Mineral Spring Ave Suite #200 North Providence RI 02904-4025 | |
| (401) 353-4936 | |
| (401) 270-3304 |
| Full Name | Richard P. Iacobucci Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1635 Mineral Spring Ave, North Providence, Rhode Island |
| Authorized Official Name and Position | Christine R. Rebello (BILLING SPECIALIST) |
| Authorized Official Contact | 4013534936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard P. Iacobucci Md, Inc. 1635 Mineral Spring Avenue Suite #200 No. Providence RHODE ISLAND 02904 Ph: (401) 353-4936 | Richard P. Iacobucci Md, Inc. 1635 Mineral Spring Ave Suite #200 North Providence RI 02904-4025 Ph: (401) 353-4936 |
| NPI Number | 1962695155 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962695155 | NPI | - | NPPES |
| 9002331 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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