Individual
STEPHANIE G MIDGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2501
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
269408
NY
207P00000X
Emergency Medicine Physician
LP01320
RI
207P00000X
Emergency Medicine Physician
Primary
MD13926
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093094A
—
MA
01
—
1982865564
NHPRI
RI
05
—
SM89249
—
RI
Enumeration date
06/17/2008
Last updated
01/11/2024
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