Individual
SHANE MCNAMARA GAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6 JOHN H CHAFEE BLVD, NEWPORT, RI 02840-1034
(401) 848-2160
Mailing address
6 JOHN H CHAFEE BLVD, NEWPORT, RI 02840-1034
(401) 848-2160
(401) 847-4245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01603
RI
Other
Enumeration date
07/24/2023
Last updated
03/03/2026
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