Cerullo, James M

Cerullo, James M is an individual health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cerullo, James M can be contacted via phone (401) 456-3000.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Phone: (401) 456-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4793 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00645 Rhode Island

Profile Details

NPI number 1982960696
LBN Legal business name Cerullo, James M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Jan 24th, 2022 - about 3 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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