Individual
GREGORY MICHAEL SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
213721
MA
2085R0202X
Diagnostic Radiology Physician
9261
RI
2085R0202X
Diagnostic Radiology Physician
MD09261
RI
2085R0204X
Vascular & Interventional Radiology Physician
09261
RI
2085R0204X
Vascular & Interventional Radiology Physician
213721
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD09261
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
007009508
HOSPITAL PIN
—
01
—
16 50203
UNITED HEALTH PLANS
—
01
—
2010674
MASSMEDICAID
—
01
—
2282555
CIGNA
—
01
—
243602
RIH PILGRIM
—
01
—
300128804
RAILROAD MEDICARE
—
01
—
409500
BLUE CHIP
—
01
—
409517
TUFTS
—
01
—
7009506
RI MEDICAL ASSISTANCE
—
01
—
9261
BLUE SHIELD
—
Enumeration date
10/21/2005
Last updated
03/15/2019
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