Individual
MARISA ERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
99 E MAIN RD STE 19A, MIDDLETOWN, RI 02842-4957
(401) 846-0055
(401) 606-4510
Mailing address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01718
RI
Other
Enumeration date
07/25/2024
Last updated
10/28/2025
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