Individual
GINO PAOLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2508
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN48410
RI
363L00000X
Nurse Practitioner
Primary
APRN00388
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
939025129
RI MEDICARE GROUP
RI
Enumeration date
05/20/2011
Last updated
02/24/2015
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