Individual
DR. RICHARD MICHAEL BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
450 VETERANS MEMORIAL PKWY UNIT 15B, EAST PROVIDENCE, RI 02914-5300
(401) 434-3350
(401) 434-5230
Mailing address
31 BULLOCKS POINT AVE APT 6B, RIVERSIDE, RI 02915-5373
(401) 439-6787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00313
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005251176
AETNA
—
01
—
1711103
CIGNA
—
01
—
3033
BCBS RIBS
RI
01
—
404250
TUFTS
—
01
—
4136
NHPRI
—
05
—
9003033
—
RI
01
—
AA97197
HARVARD PILGRIM
—
Enumeration date
10/26/2006
Last updated
11/30/2018
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