Individual
MR. MARK JAMES NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 793-2354
(401) 793-7624
Mailing address
208 COLLYER ST, PROVIDENCE, RI 02904-1560
(401) 793-2354
(401) 793-7624
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00250
RI
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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