Individual
JULIET M PORCARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 DUDLEY ST, STE 460, PROVIDENCE, RI 02905
(401) 453-0120
(401) 453-0198
Mailing address
2 DUDLEY ST, STE 460, PROVIDENCE, RI 02905
(401) 453-0120
(401) 453-0198
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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