STEFAN SANTO BALESTRA

PROVIDENCE, RI
NPI1821738121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-04-01
Last Update Date2022-05-04
Business Address
STEFAN SANTO BALESTRA PA-C
80 DUDLEY ST
PROVIDENCE, RI 02905
Phone number: 401-444-4000
Mailing Address
STEFAN SANTO BALESTRA PA-C
25 GARWAINE DR
LINCOLN, RI 02865-4905
Phone number: 401-864-6700
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