Doctor Name: | DR. ALFREDO CESAR CORDOVA |
NPI Number: | 1003087487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 233795 |
Business Practice Address: | 333 School St Suite 213 Pawtucket, RI - 028605334 |
Business Phone Number: | 4017281300 |
Business Fax Number: | 4017230978 |
Mailing Address: | 333 School St, Suite 213 PAWTUCKET |
State: | RI |
Postal Code: | 028605334 |
Phone Number: | 4017281300 |
Fax Number: | 4017230978 |
NPI Enumeration Date: | 03/13/2008 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 233795 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |