Heather J Aidala PA

NPI 1356536874 - Physician Assistant - 363AM0700X

NPI Details
NPI 1356536874
Gender Female
Enumeration Date 09/07/2007
Last Updated 09/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
593 EDDY ST
SUITE 814
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-5891
Fax (401) 444-8158
Business Location
593 EDDY ST
SUITE 814
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-5891
Fax (401) 444-8158
Toxanomy
Taxonomy Code 363AM0700X
License State Rhode Island
License Number PA00248
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According to our database, Ms. Heather J Aidala PA NPI is 1356536874, taxonomy code is 363AM0700X and license number is PA00248, license state is located at Rhode Island. Heather J Aidala PA physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Heather J Aidala PA has the Individual type.

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1356536874 NPI number is provided on an as is basis without warranty of any kind. 1356536874 is maintained by the National Plan & Provider Enumeration System. The contents of Heather J Aidala PA are for informational purposes only.