Individual
MICHAEL S SICLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BREWSTER STREET, PAWTUCKET, RI 02860-4400
(401) 729-2419
(401) 729-2517
Mailing address
111 BREWSTER STREET, WOOD BLDG #516, PAWTUCKET, RI 02860-4400
(401) 729-3481
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD06991
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002026
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
08/23/2006
Last updated
06/06/2024
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