Individual
MICHELE A MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11209
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046647
HARVARD PILGRIM
RI
01
—
12-03693
UNITED HEALTHCARE
RI
01
—
24223
BLUE CROSS/BLUE SHIELD
RI
01
—
411014
BC/BS BLUE CHIP
RI
01
—
465505
TUFTS
RI
05
—
9024223
—
RI
05
—
PY01057
—
RI
Enumeration date
10/26/2006
Last updated
11/20/2013
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