Agatiello, Paul James

Agatiello, Paul James is an sole proprietor health care provider with primary practice located at 480 Metacom Ave , Bristol RI 02809-5119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Agatiello, Paul James can be contacted via phone (401) 253-8000.

Contact Information

Primary practice address
480 Metacom Ave Bristol RI 02809-5119
Fax: (401) 398-2568
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 06018 Rhode Island

Profile Details

NPI number 1407961196
LBN Legal business name Agatiello, Paul James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Sep 16th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407961196 NPPES
Rhode Island MEDICAID AP53707

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