Healthcare Provider Details

I. General information

NPI: 1114356342
Provider Name (Legal Business Name): RODOLFO M GALINATTI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 EAST AVE
PAWTUCKET RI
02860-4003
US

IV. Provider business mailing address

39 EAST AVE
PAWTUCKET RI
02860-4003
US

V. Phone/Fax

Practice location:
  • Phone: 401-729-0080
  • Fax: 401-729-9901
Mailing address:
  • Phone: 401-729-0080
  • Fax: 401-729-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA00730
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: