| Mr Charles E Dufromont Ii, PA-C | |
|
594 Great Rd Ste 102a, North Smithfield, RI 02896-6810 | |
| (401) 768-3400 | |
| (401) 768-3402 |
| Full Name | Mr Charles E Dufromont Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 594 Great Rd Ste 102a, North Smithfield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023117447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA451 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | PA01904 (Rhode Island) | Primary |
| Entity Name | Tristan Medical Enterprises PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538398326 PECOS PAC ID: 1153503297 Enrollment ID: O20110310000118 |
| Entity Name | Patriot Urgent Care Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417205105 PECOS PAC ID: 8820248784 Enrollment ID: O20121030000548 |
| Entity Name | Unhlp LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942747977 PECOS PAC ID: 4688942642 Enrollment ID: O20170615000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles E Dufromont Ii, PA-C 594 Great Rd Ste 102a, North Smithfield, RI 02896-6810 Ph: Not Available | Mr Charles E Dufromont Ii, PA-C 594 Great Rd Ste 102a, North Smithfield, RI 02896-6810 Ph: (401) 768-3400 |
Suzanne Farinella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-597-5353 Fax: 401-769-4555 |
Danielle Marie Rodrigues, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 65 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-597-5353 Fax: 401-769-4555 |
Danielle Elizabeth Brannan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 594 Great Rd Ste 102, North Smithfield, RI 02896 Phone: 401-768-3400 |
Benjamin Marks, Physician Assistant Medicare: Medicare Enrolled Practice Location: 250 Victory Hwy, North Smithfield, RI 02896 Phone: 401-309-5662 |
Oxana Coroliuc, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896 Phone: 781-666-2711 Fax: 781-666-2712 |