person
Paul Mallari, PA-C
Medical Physician Assistant in Johnston, Rhode Island
NPI 1801889787

Paul Mallari is a Medical Physician Assistant based in Assonet, RI and is specialized in Medical. Paul Mallari practices in Johnston, RI and has the professional credentials of PA-C. The NPI Number for Paul Mallari is 1801889787 and holds a License No. PA00270 (Rhode Island).

The current practice location address for Paul Mallari is 1526 Atwood Ave Ste 220, Johnston, RI and can be reached out via phone at 401-396-2227 and via fax at 401-421-1120.

Location: 1526 Atwood Ave Ste 220, Johnston, RI, 02702-1377
person
Provider Profile Details
NPI Number
1801889787
Provider Name
Paul Mallari
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1526 Atwood Ave Ste 220, Johnston, RI, 02702-1377
Phone Number
401-396-2227
Fax Number
401-421-1120
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
409374 01 RI BLUE CHIP
0000030808 01 RI BC BS OF RHODE ISLAND
PM54778 05 RI
institution
Provider Business Practice Location Address Details
Address
1526 Atwood Ave Ste 220
City
State
Zip
02919-3289
Phone Number
401-396-2227
Fax Number
401-421-1120
person
Provider Business Mailing Address Details
Address
1526 Atwood Ave Ste 220
City
State
Zip
02919-3289
Phone Number
401-396-2227
Fax Number
401-421-1120
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00270 (Rhode Island)
Definition
Definition to come...
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