Individual
DR. ALLA MATSIEVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 TOLL GATE RD, WARWICK, RI 02886-2715
(401) 737-4343
(401) 734-9365
Mailing address
430 TOLL GATE RD, WARWICK, RI 02886-2715
(401) 737-4343
(401) 734-9365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD09819
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-06001
UNITED HEALTH CARE
RI
01
—
1920
NEIGHBORHOOD HEALTH
RI
01
—
201848
HARVARD PILGRIM HEALTH
RI
01
—
23287-4
BLUE CROSS BLUE SHIELD RI
RI
01
—
2499938
AETNA
RI
01
—
403352
BLUE CHIP
RI
01
—
406471
TUFTS
RI
05
—
AM35406
—
RI
01
—
RI2988
ACS/HEALTHNET
RI
Enumeration date
08/31/2006
Last updated
07/08/2007
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