Provider Demographics
NPI:1861285413
Name:MASIELLO, JOSEPH ANTHONY (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:MASIELLO
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:27 BYRON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-1910
Mailing Address - Country:US
Mailing Address - Phone:401-206-7716
Mailing Address - Fax:
Practice Address - Street 1:750 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4423
Practice Address - Country:US
Practice Address - Phone:401-944-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant