MICHAEL A IADEVAIA

PAWTUCKET, RI
NPI1376048637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: RI  LP04408)
Enumeration Date2018-03-28
Last Update Date2018-07-06
Business Address
MICHAEL A IADEVAIA
111 BREWSTER ST FL 3
PAWTUCKET, RI 02860
Phone number: 401-729-2235
Mailing Address
MICHAEL A IADEVAIA
51 ANCHORAGE RD
WARWICK, RI 02889-2903
Phone number: 401-477-2331