Individual
MR. ALEXANDER THOMAS MUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 CROSSINGS BLVD, WARWICK, RI 02886-2878
(401) 777-7000
Mailing address
300 CROSSINGS BLVD, WARWICK, RI 02886-2878
(401) 777-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01672
RI
363AS0400X
Surgical Physician Assistant
PA61000082
WA
Other
Enumeration date
07/31/2019
Last updated
04/22/2024
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