Individual
PAUL MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1526 ATWOOD AVE STE 220, JOHNSTON, RI 02919-3289
(401) 396-2227
(401) 421-1120
Mailing address
79 CLIFF DR, ASSONET, MA 02702-1377
(401) 529-7787
(508) 674-8880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00270
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030808
BC BS OF RHODE ISLAND
RI
01
—
409374
BLUE CHIP
RI
05
—
PM54778
—
RI
Enumeration date
08/25/2005
Last updated
02/09/2024
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