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Contact Information

MICAELA WEAVER, DO
1 BLACKSTONE STREET
2ND FLOOR
PROVIDENCE, RI02903
 Phone: 401-453-7520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICAELA WEAVER · (Female)

NPI Number 1992111884
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/11/2014
Last updated 06/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 285738
  • RI License # DO00965
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
  • SAINT ANNE'S HOSPITAL - (Acute Care)
    795 MIDDLE STREET
    FALL RIVER, MA 02721
  • WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - (Acute Care)
    101 DUDLEY STREET
    PROVIDENCE, RI 02905
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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