Individual
DR. PAUL JAMES AGATIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 253-8000
(401) 398-2568
Mailing address
480 METACOM AVE, BRISTOL, RI 02809
(401) 253-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06018
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP53707
—
RI
Enumeration date
08/20/2006
Last updated
09/16/2013
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