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Contact Information

BRIAN MIKOLASKO, MD MBA MS
2109 HARTFORD AVE
JOHNSTON, RI02919-3246
 Phone: 626-319-5932
 Fax: 626-380-2395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN MIKOLASKO · (Male)

NPI # 1346669512
Status Active
Credentials MD MBA MS
Entity Individual
Enumeration date 04/15/2014
Last updated 08/14/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 149352
  • MA License # 276683
  • PA License # 463951
  • RI License # 16379
  • CA Other A149352 THE MEDICAL BOARD OF CALIFORNIA
  • PA Other MD463951 PENNSYLVANIA STATE BOARD OF MEDICINE
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • DANA-FARBER CANCER INSTITUTE - (Acute Care)
    450 BROOKLINE AVENUE
    BOSTON, MA 02115
  • FAULKNER HOSPITAL - (Acute Care)
    1153 CENTRE STREET
    BOSTON, MA 02130
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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