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Individual

JULIET M PORCARI

Active
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Individual

JULIET M PORCARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00299
RI
363AM0700X
Medical Physician Assistant
Primary
MA062550
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
228635
BLUE SHIELD
RI
01
410510
BLUE CHIP
RI
Enumeration date
05/17/2006
Last updated
07/19/2021
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