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LAURA J FAVICCHIO

PHYSICIAN ASSISTANT · PROVIDENCE, RI

Provider

NPI
1760717219
Credential
Primary specialty
PHYSICIAN ASSISTANT
Gender
Female
Medical school
OTHER
Graduation year
2009

Practice

Address
101 DUDLEY ST, PROVIDENCE, RI 029052401
Phone
4012741100
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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