ANTONIO EMMANUEL REISOPOULOS

PROVIDENCE, RI
NPI1346970340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA01470)
Enumeration Date2022-06-13
Last Update Date2022-06-13
Business Address
ANTONIO EMMANUEL REISOPOULOS PA-C
7 CENTRAL ST
PROVIDENCE, RI 02907-2201
Phone number: 401-648-4700
Mailing Address
ANTONIO EMMANUEL REISOPOULOS PA-C
7 CENTRAL ST
PROVIDENCE, RI 02907-2201
Phone number: 401-648-4700
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