Individual
NOELLA MENASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1524 ATWOOD AVE, SUITE 220 ATWOOD MEDICAL ASSOCIATES, JOHNSTON, RI 02919
(401) 272-1900
(401) 453-3049
Mailing address
1524 ATWOOD AVE, SUITE 220 ATWOOD MEDICAL ASSOCIATES, JOHNSTON, RI 02919
(401) 272-1900
(401) 453-3049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 00218
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23538
BC
—
01
—
979023538
BCHIP
—
01
—
P00185219
RR MEDICARE
—
Enumeration date
07/13/2006
Last updated
06/26/2008
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