IndividualActive
Alexander Mut, PA-C
NPI 1083268676 · Surgical Physician Assistant · Warwick, RI
Provider details
- NPI number
- 1083268676
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA61000082 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 Crossings Blvd
Warwick, RI 02886-2878
Phone: (401) 777-7000
Approximate (ZIP-level) locationGet directions
Mailing address
300 Crossings Blvd
Warwick, RI 02886-2878
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.