Physician Assist LLC

NPI #1669702569 in Wakefield, Rhode Island

Provider Information

NPI Number
1669702569
Entity Type
Organization
Organization Name
Physician Assist LLC
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Dec 28, 2009
Last Updated
Dec 28, 2009

Practice Location

Address
35 BROAD ROCK RD
ZIP Code
02879-1872
Phone
(401) 265-4553

Authorized Official

Name
MR. MICHAEL JOHN COBB, PA-C
Title
OWNER
Phone
(401) 265-4553

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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