Individual
MATTHEW CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1524 ATWOOD AVE STE 140, JOHNSTON, RI 02919-3288
(401) 457-1500
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 457-1500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01791
RI
Other
Enumeration date
05/12/2025
Last updated
07/11/2025
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