Individual
STEVEN MARC COLAGIOVANNI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 ATWOOD AVE, SUITE 322, JOHNSTON, RI 02919-3228
(401) 331-7400
(401) 331-7410
Mailing address
1524 ATWOOD AVE, SUITE 322, JOHNSTON, RI 02919-3228
(401) 331-7400
(401) 331-7410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD08650
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SC08504
—
RI
Enumeration date
06/06/2006
Last updated
07/08/2007
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