Individual provider · Type 1 NPI

Alexander Thomas Mut, PA-C

Surgical Physician Assistant · Warwick, RI

NPI number 1083268676 Active

Practice location

300 Crossings Blvd
Warwick, RI 02886-2878

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA61000082 (WA)
Surgical Physician Assistant Primary 363AS0400XPA01672 (RI)

Surgical Physician Assistant: Definition to come...

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About NPI 1083268676

Alexander Thomas Mut, PA-C's National Provider Identifier is 1083268676, issued on Jul 31, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Warwick, RI. The record was last updated on Apr 22, 2024.