PHYSICIAN ASSIST LLC NPI 1669702569

NPI Information

NPI: 1669702569
Provider Name: PHYSICIAN ASSIST LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
35 BROAD ROCK RD
WAKEFIELD, RI
ZIP 02879
Phone: (401) 265-4553
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PHYSICIAN ASSIST LLC is a surgical physician assistant in Wakefield, RI. PHYSICIAN ASSIST LLC NPI is 1669702569. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35 BROAD ROCK RD
WAKEFIELD, RI
ZIP 02879-872
Phone: (401) 265-4553

The provider's authorized official is Michael John Cobb .
The authorized official title is Owner and has the following contact phone number (401) 265-4553.

The enumeration date for this NPI number is 12/28/2009 and was last updated on 12/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA00255	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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