Organization · Type 2 NPI
Ri Departmenf of Corrections
Medical Physician Assistant · Cranston, RI
NPI number
1629168901
Active
Practice location
39 Howard Ave
Cranston, RI 02920-3001
Fax (401) 462-2625
Mailing address
147 Seascape Ave
Middletown, RI 02842-5852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00221 (RI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Cranston
About NPI 1629168901
Ri Departmenf of Corrections's National Provider Identifier is 1629168901, issued on Oct 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cranston, RI. The record was last updated on Jul 21, 2022.