Jacquelynn M Dimuccio, PA-C
NPI #1275155574 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1275155574
- Entity Type
- Individual
- Name
- Jacquelynn M Dimuccio, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 11, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 1150 RESERVOIR AVE STE 203
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-6043
- Phone
- (401) 259-0340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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