Individual
DR. MICHAEL E JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 BREWSTER STREET, PAWTUCKET, RI 02860-4474
(401) 729-2339
Mailing address
111 BREWSTER STREET, WOOD BLDG #516, PAWTUCKET, RI 02860-4474
(401) 729-3481
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
49166
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD12306
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028363
HEALTH NET
MA
05
—
0188433
—
MA
01
—
04-3140277
HCVM FIRST HEALTH
MA
01
—
049166
TUFTS HEALTH PLAN
MA
01
—
16-00012
UNITED HEALTHCARE MA
MA
01
—
30013557
RAILROAD MEDICARE
MA
01
—
344539
HARVARD PILGRIM
MA
01
—
410511
BLUE CHIP R
MA
01
—
4642867002
CIGNA MA
MA
01
—
J25694
BCBS RI
MA
Enumeration date
10/24/2005
Last updated
09/22/2011
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