Individual
NICHOLAS P. ASSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
262330
MA
207P00000X
Emergency Medicine Physician
Primary
DO00800
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110103068A
—
MA
05
—
1225321375
—
RI
Enumeration date
05/24/2011
Last updated
02/14/2018
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