Individual
ROODOLPH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
43 JEFFERSON BLVD, WARWICK, RI 02888-1027
(401) 941-2830
Mailing address
110 ELM ST FL 3, PROVIDENCE, RI 02903-4626
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023160
NY
363A00000X
Physician Assistant
Primary
PA01507
RI
Other
Enumeration date
12/20/2018
Last updated
03/06/2023
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