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Individual

DR. MICHAEL A SACCUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 VILLAGE SQUARE DR, SOUTH KINGSTOWN, RI 02879-8274
(401) 272-2020
(401) 789-4113
Mailing address
55 VILLAGE SQUARE DR, SOUTH KINGSTOWN, RI 02879-8274
(401) 272-2020
(401) 789-4113

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00477
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001976
BLUE CHIP
01
050369447
VISION SERVICE PLAN
01
0550481
AETNA HMO
01
2200163
UNITED HEALTHCARE
RI
01
2847
NEIGHBORHOOD HEALTH
01
324
BLUE CROSS BLUE SHIELD
RI
01
410033599
RAILROAD MEDICARE
01
5714177
AETNA NON HMO
01
720117301
CIGNA
01
7389920002
CIGNA PAL #
05
MS00823
RI
Enumeration date
05/20/2006
Last updated
02/17/2015
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