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NPI Code Detail

MEDICARE: MR. ARMENAG ANTRANIGIAN PA-C

MEDICARE: MR. ARMENAG ANTRANIGIAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA6341MA
2363AS0400XSurgical Physician AssistantPA00773RI

General Provider Information

NPI Number : 1225430820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARMENAG ANTRANIGIAN PA-C
Provider Business Mailing Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-737-7010
Fax Number : 401-736-1099
Provider Business Practice Location Address
First Line : 455 TOLL GATE RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-2759
Country : US
Telephone Number : 401-737-7010
Fax Number : 401-736-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2014
Last Update Date : 12/10/2025

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