Provider Demographics
NPI:1184723520
Name:OCCHIUTI, STEVEN A (PA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:OCCHIUTI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OFFICE PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-435-3325
Mailing Address - Fax:401-435-3327
Practice Address - Street 1:1 OFFICE PARKWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914
Practice Address - Country:US
Practice Address - Phone:401-435-3325
Practice Address - Fax:401-435-3327
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIPA00152363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical