# DR. MIRIAM J. SIVKIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578624474
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 029814 | CT | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 07/13/2010

## 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 |