Individual
MARIA CHRISTINE BOTSKO BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1526 ATWOOD AVE STE 220, JOHNSTON, RI 02919-3289
(401) 404-2975
(401) 404-2976
Mailing address
1526 ATWOOD AVE STE 220, JOHNSTON, RI 02919-3289
(401) 404-2975
(401) 404-2976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01024
RI
363AM0700X
Medical Physician Assistant
Primary
PA01024
RI
Other
Enumeration date
03/07/2018
Last updated
11/28/2022
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