Individual
JASON PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
593 EDDY ST STE 101, PROVIDENCE, RI 02903-4923
(014) 447-5854
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01510
RI
Other
Enumeration date
01/29/2007
Last updated
11/10/2025
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