Individual
MR. BENJAMIN JAMES JAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2635
(401) 729-2157
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 738-7015
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00988
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477077493
—
RI
Enumeration date
08/01/2017
Last updated
02/17/2023
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