Individual
THOMAS CROWLEY MIGLIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
2 MAYNARD ST, POTSDAM, NY 13676-1129
(203) 470-6446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01444
RI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457847790
—
RI
Enumeration date
07/10/2018
Last updated
10/02/2023
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