Most Relevant Information
Provider Data
| NPI Number: | 1003484296 |
| Provider Name: | CELIA CORDEIRO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA01382 |
Most Important Dates
| Enumeration Date: | 06/14/2021 |
| Last Updated: | 01/25/2022 |
Provider Practice Location
450 BROOK ST
PROVIDENCE
RI
029062231
Practice Location Phone/Fax
| Phone: | 4018633953 |
| Fax: |
Provider Mailing Location
450 BROOK ST
PROVIDENCE
RI
029062231
Provider Mailing Phone/Fax
| Phone: | 7865016768 |
| Fax: |