Individual
MR. JOHN WILLIAM HURLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
68 FARNUM PIKE, SMITHFIELD, RI 02917-3224
(401) 300-6559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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