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Individual

THOMAS K EGGLIN

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
72894
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD09966
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001988
NHPRI
01
003112993
CT MED ASSISTANCE
01
007006723
HOSPITALPIN
01
009966
TUFTS
01
1600025
UNITED HEALTH PLANS
01
241364
RIHPILGRIM
01
30091293
RAILROAD MEDICARE
01
3065430
MASSMEDICAID
01
404203
BLUECHIP
01
7006722
RIMEDICAL ASSISTANCE
01
720078801
CIGNA
Enumeration date
11/09/2005
Last updated
03/21/2019
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