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Contact Information

GRACIETTE DA SILVA, PA-C
1 RANDALL SQ STE 306
PROVIDENCE, RI02904-2751
 Phone: 401-751-7546
 Fax: 401-751-6888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GRACIETTE DA SILVA · (Female)

NPI # 1144221862
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/03/2005
Last updated 06/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # PA7524
  • RI License # PA00145
  • RI Medicaid GD31756
  • RI Other 0000030892 B/S
  • RI Other 406469 BCHIP
  • RI Other 401452 HARVARD PILGRIM HEALTH
  • RI Other 3804 NEIGHBORHOOD HEALTH
  • RI Other 007158 TUFTS HEALTH PLAN
  • RI Other 03-00134 UNITED HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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