NICOLAS ANTONELLIS

PROVIDENCE, RI
NPI1932095346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA01983)
Enumeration Date2025-06-13
Last Update Date2026-10-01
Business Address
NICOLAS ANTONELLIS
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-2734
Mailing Address
NICOLAS ANTONELLIS
15 LA SALLE SQ
PROVIDENCE, RI 02903-1814
Phone number: 401-444-6779
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