Individual
MR. NICHOLAS PAUL PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 254-1093
Mailing address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 254-1093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
05/23/2022
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