Ciancaglini, Doreen M

Ciancaglini, Doreen M is an individual health care provider with primary practice located at 1169 Mineral Spring Avenue , North Providence RI 02904-4102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ciancaglini, Doreen M can be contacted via phone (401) 725-3888.

Contact Information

Primary practice address
1169 Mineral Spring Avenue North Providence RI 02904-4102
Phone: (401) 725-3888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 08931 Rhode Island

Profile Details

NPI number 1407933419
LBN Legal business name Ciancaglini, Doreen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407933419 NPPES
Other 008931 TUFTS MA
Other 20614-7 TUFTS MA
MEDICAID 627126371 TUFTS MA

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