Richard P. Iacobucci Md, Inc.

LBN: Richard P. Iacobucci Md, Inc.
Richard P. Iacobucci Md, Inc. is an health care organization with primary practice located at 1635 Mineral Spring Ave Suite #200, North Providence RI 02904-4025. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Richard P. Iacobucci Md, Inc. can be contacted via phone (401) 353-4936, or through Rebello, Christine R. via phone (401) 353-4936.

Contact Information

Primary practice address
1635 Mineral Spring Ave Suite #200 North Providence RI 02904-4025
Phone: (401) 353-4936
Fax: (401) 270-3304
Website:
Map and Directions
Authorized official contact:
Name: Rebello, Christine R.
Phone: (401) 353-4936

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1962695155
LBN Legal business name Richard P. Iacobucci Md, Inc.
DBA Doing business as
Authorized official Rebello, Christine R.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Aug 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962695155 NPPES
Rhode Island MEDICAID 9002331

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