NPI 1215542360

Anthony Mattiello, PA

Practitioner Physician Assistant Pawtucket, RI

Practice location

Address: 174 Armistice Blvd, Pawtucket, RI 02860-3280
Phone: (401) 753-0500
Mailing address: 55 Pasture View Ln, Cranston, RI 02921-2732

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Rhode Island →

Registry record

NPI: 1215542360
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2020
Record last updated: 14 Sep 2020

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.