Provider Demographics
NPI:1548523244
Name:MIGLIORE, FRANK JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:MIGLIORE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:905 SAHARA TRL
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3687
Mailing Address - Country:US
Mailing Address - Phone:330-729-8722
Mailing Address - Fax:330-729-8723
Practice Address - Street 1:905 SAHARA TRL
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3687
Practice Address - Country:US
Practice Address - Phone:330-729-8722
Practice Address - Fax:330-729-8723
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018656207RR0500X
OH34.014872207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103297839Medicaid
OH0451993Medicaid
14017377OtherCAQH