Individual
MR. MATTHEW KYLE SIUBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
167 POINT ST, PROVIDENCE, RI 02903-4771
(401) 444-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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