Individual
DOREEN M CIANCAGLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1169 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI 02904-4102
(401) 725-3888
Mailing address
1169 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI 02904-4102
(401) 725-3888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
08931
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008931
TUFTS MA
—
01
—
20614-7
BLUE CROSS
RI
05
—
627126371
—
RI
Enumeration date
11/01/2006
Last updated
07/08/2007
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