Individual
JAMES M CERULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Mailing address
125 WHIPPLE STREET, 3RD FLOOR, PROVIDENCE, RI 02908-3258
(401) 854-2504
(401) 427-7795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00645
RI
363A00000X
Physician Assistant
PA4793
MA
Other
Enumeration date
04/06/2012
Last updated
01/24/2022
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