KENNETH A FURCOLO

PROVIDENCE, RI
NPI1376626440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: RI  PA00067)
Additional Taxonomies363AS0400X Physician Assistant Surgical
(Licence: RI  PA00067)
Enumeration Date2006-10-23
Last Update Date2021-08-19
Business Address
MR. KENNETH A FURCOLO PA-C
285 PROMENADE ST
PROVIDENCE, RI 02908-5719
Phone number: 401-459-4001
Mailing Address
MR. KENNETH A FURCOLO PA-C
285 PROMENADE ST
PROVIDENCE, RI 02908-5719
Phone number: 401-777-7000