Organization
AGAPE DERMATOLOGY OF JOHNSTON LLC
Active
Other names
AGAPE DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MALLARI PA-C (PRESIDENT)
(401) 737-7546
Entity
Organization
Contact information
Practice address
1526 ATWOOD AVE STE 220, JOHNSTON, RI 02919-3289
(401) 396-2227
(401) 421-1120
Mailing address
1526 ATWOOD AVE STE 210, JOHNSTON, RI 02919-3289
(401) 737-7546
(401) 384-6741
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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