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Richard A Peloquin, PA-C
Medical Physician Assistant in Providence, Rhode Island
NPI 1164464772

Richard A Peloquin is a Medical Physician Assistant based in Lincoln, RI and is specialized in Medical. Richard A Peloquin practices in Providence, RI and has the professional credentials of PA-C. The NPI Number for Richard A Peloquin is 1164464772 and holds a License No. PA00096 (Rhode Island).

The current practice location address for Richard A Peloquin is 100 Butler Dr, Providence, RI and can be reached out via phone at 401-277-0790.

Location: 100 Butler Dr, Providence, RI, 02865-1636
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Provider Profile Details
NPI Number
1164464772
Provider Name
Richard A Peloquin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
100 Butler Dr, Providence, RI, 02865-1636
Phone Number
401-277-0790
Fax Number
Provider Enumeration Date
06/11/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7006485 05 RI
979006370 01 RI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
100 Butler Dr
City
State
Zip
02906-4862
Phone Number
401-277-0790
Fax Number
person
Provider Business Mailing Address Details
Address
100 Butler Dr
City
State
Zip
02906-4862
Phone Number
401-277-0790
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00096 (Rhode Island)
Definition
Definition to come...
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