Individual
JOHN MICHAEL CORSI
Active
Individual
JOHN MICHAEL CORSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO371
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004174
BLUE CHIP
—
01
—
0400393
UNITED HEALTH
RI
01
—
0450860001
CIGNA
—
01
—
30593
BLUE CROSS
RI
01
—
404261
TUFTS
—
05
—
9003059
—
RI
01
—
R002614
CHAMPUS
—
Enumeration date
08/11/2006
Last updated
07/08/2007
Update your record
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