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1942975123
DAVID MICHAEL COLETTA
PROVIDENCE, RI
NPI
1942975123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA01385)
Enumeration Date
2021-08-10
Last Update Date
2023-09-22
Business Address
DAVID MICHAEL COLETTA PA-C
593 EDDY STREET APC6
PROVIDENCE, RI 02903
Phone number: 401-793-9166
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Mailing Address
DAVID MICHAEL COLETTA PA-C
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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