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Individual

SANDRA JOAN MUSIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4691
(401) 444-7574
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4691
(401) 444-7574

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9478
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1200418
UNITED HEALTH
01
1894
NEIGHBORHOOD HTH PLAN
RI
01
401486
BLUE CHIP
01
710054301
CIGNA
01
MD09478
LICENSE
RI
05
SM23701
RI
Enumeration date
06/23/2006
Last updated
08/23/2010
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