Organization
GERIATRICS ASSOCIATES LLC
Active
Organization
GERIATRICS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW C MACKO PAC (PHYSICIAN ASSISTANT)
(401) 952-8300
Entity
Organization
Contact information
Practice address
1150 NEW LONDON AVE, CRANSTON, RI 02920-3036
(401) 952-8300
Mailing address
1150 NEW LONDON AVE, CRANSTON, RI 02920
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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