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Individual

JONATHAN DIMENT ECKEL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
17 WELLS ST STE 201, WESTERLY, RI 02891-2923
(401) 596-2033
(401) 596-9294
Mailing address
17 WELLS ST STE 201, WESTERLY, RI 02891-2923
(401) 596-2033
(401) 596-9294

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01959
RI
363AM0700X
Medical Physician Assistant
PA01959
RI
363AS0400X
Surgical Physician Assistant
PA01959
RI

Other

Enumeration date
08/03/2026
Last updated
08/03/2026
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