Provider Demographics
NPI:1295722031
Name:MUEHLBERG, AMI BETH (DO)
Entity type:Individual
Prefix:DR
First Name:AMI
Middle Name:BETH
Last Name:MUEHLBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1087 WARWICK AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-5203
Mailing Address - Country:US
Mailing Address - Phone:401-383-7100
Mailing Address - Fax:401-383-7101
Practice Address - Street 1:1087 WARWICK AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-5203
Practice Address - Country:US
Practice Address - Phone:401-383-7100
Practice Address - Fax:401-383-7101
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIDO00580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I20640Medicare UPIN