Individual
PAUL M COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-8110
(401) 861-5220
Mailing address
455 TOLL GATE ROAD, PRC AND CREDENTIAILNG, PROVIDENCE, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN00809
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA22316
RI
Other
Enumeration date
09/21/2005
Last updated
04/22/2026
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