Individual
MR. JOHN P MISKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 BEECHWOOD AVENUE, PAWTUCKET, RI 02860
(401) 475-1999
(401) 475-6932
Mailing address
131 BEECHWOOD AVENUE, PAWTUCKET, RI 02860
(401) 475-1999
(401) 475-6933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10350
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9022171
—
RI
Enumeration date
10/13/2005
Last updated
03/05/2008
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