Individual provider · Type 1 NPI
Thomas Joseph Corso, PA
Surgical Physician Assistant · Pawtucket, RI
NPI number
1902840754
Active
Practice location
111 Brewster St, Memorial Hospital Of Ri /dept Of Surgery
Pawtucket, RI 02860-4400
Fax (401) 729-2286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA00311 (RI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1902840754
Thomas Joseph Corso, PA's National Provider Identifier is 1902840754, issued on Jun 15, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pawtucket, RI. The record was last updated on Sep 2, 2011.