Jennifer Derossi-Dacosta, RNCDECDOE

Practice location

Address

111 Brewster Street Cnemg Primary Care and Specialty Services, Pawtucket, RI 02860-4474

Phone

(401) 729-2238

Fax

(401) 729-2923

Mailing address

455 Toll Gate Rd, Warwick, RI 02886-2759

Registered specialties (2)

Registry record

NPI

1063883270

Entity type

Individual

Sex (as registered)

Female

NPI issued

14 Oct 2015

Record last updated

22 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.