NPI 1205813615

Alfred Henry Liddle, PA

Practitioner Physician Assistant Lincoln, RI

Practice location

Address: 6 Blackstone Valley Pl STE 201, Lincoln, RI 02865-1112
Phone: (401) 638-6374
Fax: (401) 358-9042

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00023 (RI)

Other Physician Assistant providers in Rhode Island →

Registry record

NPI: 1205813615
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2005
Record last updated: 4 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.