Individual
ELISA MARIE WASILEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
195 COLLYER ST, SUITE 302, PROVIDENCE, RI 02904-1869
(401) 793-3236
(401) 793-5171
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00534
RI
Other
Enumeration date
11/23/2009
Last updated
01/29/2020
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