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NPI Code Detail

MEDICARE: MRS. ROBERTA A MEGLIO PAC

MEDICARE:  MRS. ROBERTA A MEGLIO  PAC
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 AssistantPA 00177RI

General Provider Information

NPI Number : 1801965934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBERTA A MEGLIO PAC
Provider Business Mailing Address
First Line : 600 PUTNAM PIKE
Second Line :
City : GREENVILLE
State : RI
Zip : 02828
Country : US
Telephone Number : 401-949-5552
Fax Number : 401-949-5556
Provider Business Practice Location Address
First Line : 1052 PARK AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-3225
Country : US
Telephone Number : 401-461-5056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/14/2025

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Directions to “ MRS. ROBERTA A MEGLIO PAC” Practice Location

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