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Individual
DR. MIRIAM J. SIVKIN
Active
Individual
DR. MIRIAM J. SIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
029814
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004237112
—
CT
01
—
010029814CT01
ANTHEM I.D. NO.
CO
01
—
029814
CONNECTICARE
CT
01
—
127938
PREFERRED ONE WELLCARE
CT
01
—
161664854
TAX I.D. NO
CT
01
—
2V3325
HEALTHNET
CT
01
—
ZP116
OXFORD
CT
Enumeration date
12/13/2006
Last updated
07/13/2010
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