Individual
MR. JASON SPITALNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 NOOSENECK HILL RD, UNIT 3, WEST GREENWICH, RI 02817-1568
(401) 385-9530
Mailing address
15 COUNTY ST, NEWPORT, RI 02840-1801
(401) 714-6111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT01182
RI
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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