Individual
KATE J BACCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886
(401) 737-7000
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01131
RI
363A00000X
Physician Assistant
PA4033
MA
Other
Enumeration date
09/28/2010
Last updated
04/05/2021
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