Organization
PHYSICIAN ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN COBB PA-C (OWNER)
(401) 265-4553
Entity
Organization
Contact information
Practice address
35 BROAD ROCK RD, WAKEFIELD, RI 02879-1872
(401) 265-4553
Mailing address
35 BROAD ROCK RD, WAKEFIELD, RI 02879-1872
(401) 265-4553
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00255
RI
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up