Individual
MR. JOSEPH DESROSIERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
712 PUTNAM PIKE UNIT 2, CHEPACHET, RI 02814-1404
(401) 484-0424
Mailing address
712 PUTNAM PIKE UNIT 2, CHEPACHET, RI 02814-1404
(401) 710-4280
(401) 710-4277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01026
RI
Other
Enumeration date
03/13/2018
Last updated
10/26/2020
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