Individual
MICHAEL M PALATUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1637 MINERAL SPRING AVE, SUITE 215, NORTH PROVIDENCE, RI 02904-4055
(401) 353-7330
(401) 354-4760
Mailing address
1637 MINERAL SPRING AVE, SUITE 215, NORTH PROVIDENCE, RI 02904-4055
(401) 353-7330
(401) 354-4760
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
PA00260
RI
363A00000X
Physician Assistant
PA00260
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238474
BCBS
RI
01
—
408945
BLUE CHIP
RI
05
—
9023720
—
RI
Enumeration date
12/13/2006
Last updated
06/25/2008
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