Individual
MR. NICHOLAS WALTER MARTIROSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(401) 348-3325
Mailing address
222 POST RD STE 5B, WESTERLY, RI 02891-2686
(401) 523-3883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01535
RI
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA01535
RI
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/30/2022
Last updated
06/15/2026
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