Dr Jon A Mukand, | |
21 Peace St, Providence, RI 02907-1510 | |
(401) 456-4409 | |
Not Available |
Full Name | Dr Jon A Mukand |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 21 Peace St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083787816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD07544 (Rhode Island) | Primary |
Entity Name | Prospect Chartercare Sjhsri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
Mailing Address | Practice Location Address |
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Dr Jon A Mukand, 200 High Service Ave, North Providence, RI 02904-5113 Ph: (401) 456-3309 | Dr Jon A Mukand, 21 Peace St, Providence, RI 02907-1510 Ph: (401) 456-4409 |
Amy Ludovici, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Cunningham Sq, Providence, RI 02918 Phone: 607-222-0708 | |
Paul Gauvin, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 790 N Main St, Providence, RI 02904 Phone: 401-272-3600 | |
Dr. Claudia Ann Wheeler, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Suite 110, Providence, RI 02905 Phone: 401-606-4150 Fax: 401-270-4681 | |
Dr. Gabriel Abella, M. D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 455 Douglas Ave, Providence, RI 02908 Phone: 201-654-6397 | |
Dr. Jerrold N Rosenberg, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 827 N Main St, Suite 6, Providence, RI 02904 Phone: 401-453-5030 Fax: 401-453-5033 | |
Lauren Marie Hall, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 765 Allens Ave Ste 104, Providence, RI 02905 Phone: 401-606-8080 |