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Contact Information

THOMAS J CORSO, PA
111 BREWSTER ST
MEMORIAL HOSPITAL OF RI /DEPT OF SURGERY
PAWTUCKET, RI02860-4400
 Phone: 401-729-2241
 Fax: 401-729-2286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THOMAS J CORSO · (Male)

NPI Number 1902840754
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/15/2006
Last updated 09/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • RI License # PA00311
  • RI Medicaid TC73054
  • RI Other 9790062661 MEDICARE PTAN
  • RI Other 27994-5 RI BLUE CROSS ID NUMBER
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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