IndividualActive
Richard Peloquin, PA-C
NPI 1164464772 · Medical Physician Assistant · Providence, RI
Provider details
- NPI number
- 1164464772
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA00096 (RI)
Mailing address
16 Arlington Dr
Lincoln, RI 02865-1636
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.