# THOMAS JOSEPH CORSO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902840754
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA00311 | RI | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 09/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 27994-5 | RI BLUE CROSS ID NUMBER | RI |
| 01 | — | 9790062661 | MEDICARE PTAN | RI |
| 05 | — | TC73054 | — | RI |