Geriatrics Associates LLC

NPI #1043509672 in Cranston, Rhode Island

Provider Information

NPI Number
1043509672
Entity Type
Organization
Organization Name
Geriatrics Associates LLC
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Apr 5, 2011
Last Updated
Apr 5, 2011

Practice Location

Address
1150 NEW LONDON AVE
ZIP Code
02920-3036
Phone
(401) 952-8300

Authorized Official

Name
ANDREW C MACKO, PAC
Title
PHYSICIAN ASSISTANT
Phone
(401) 952-8300

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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