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Individual

RICK MOFFITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8010
(508) 675-7905
Mailing address
275 MARTINE ST, SUITE 301, FALL RIVER, MA 02723-1516
(508) 675-4683
(508) 675-7905

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00003
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30597
BCBS RI
RI
01
408389
BLUE CHIP
RI
05
7008700
RI
Enumeration date
02/26/2007
Last updated
07/08/2007
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