Individual
ANTHONY MATTIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
174 ARMISTICE BLVD, PAWTUCKET, RI 02860-3280
(401) 753-0500
Mailing address
55 PASTURE VIEW LN, CRANSTON, RI 02921-2732
(401) 439-6237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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