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Individual

MICHAEL A THURSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 438-5950
(401) 435-6700
Mailing address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3525
(401) 438-5950
(401) 435-2245

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00502
RI
207RN0300X
Nephrology Physician
213316
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000037167
BOSTON MEDICAL
MA
05
110005090A
MA
01
110231848
RAILROAD MEDI
01
1305389001
CIGNA
01
3100290
UNITED
01
405620
BLUE CHIP
RI
01
4132
NEIGHBORHOOD HLT
01
459232
TUFTS
01
502
BLUE CROSS
RI
01
692775
HARVARD PILGRIM
01
7484643
AETNA
05
9022203
RI
01
J25258
BLUE CROSS
MA
Enumeration date
11/29/2005
Last updated
08/11/2020
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