Organization
MICHAEL E. KLUFAS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E KLUFAS MD (PHYSICIAN/OWNER)
(401) 726-1048
Entity
Organization
Contact information
Practice address
525 BROAD ST, SUITE 103, CUMBERLAND, RI 02864-6919
(401) 726-1048
(401) 724-0896
Mailing address
525 BROAD ST, SUITE 103, CUMBERLAND, RI 02864-6919
(401) 726-1048
(401) 724-0896
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
6939
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202292
BLUECHIP
RI
01
—
9000376
MEDICAID
RI
05
—
MK35773
—
RI
Enumeration date
07/24/2007
Last updated
04/28/2014
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