Individual
SIDNEY PREMER MIGLIORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 RESERVOIR AVE, NUMBER 101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Mailing address
725 RESERVOIR AVE, NUMBER 101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09084
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912992645
DURABLE
RI
01
—
32298-0
RI BLUE CROSS
RI
01
—
400484
CHIP
RI
05
—
7008852
—
RI
Enumeration date
09/19/2005
Last updated
08/18/2010
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