IndividualActive
Andrew Macko, PAC
NPI 1477520906 · Physician Assistant · Cranston, RI
Provider details
- NPI number
- 1477520906
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA00295 (RI)
Practice location
1150 New London Ave
Cranston, RI 02920-3036
Phone: (401) 270-3232
Fax: (401) 383-9480
Mailing address
1150 New London Ave
Cranston, RI 02920-3036
Registry dates
- Enumerated
- 2006-03-03
- Last updated
- 2011-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.