Individual
SARAH DIMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01887
RI
363AS0400X
Surgical Physician Assistant
Primary
PA01887
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
05/20/2026
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