Denis E. Moonan, Md, Inc | |
1515 Smith Street Suite N North Providence RI 02911-2947 | |
(401) 353-0555 | |
(401) 353-7079 |
Full Name | Denis E. Moonan, Md, Inc |
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Speciality | Internal Medicine |
Location | 1515 Smith Street, North Providence, Rhode Island |
Authorized Official Name and Position | Denis Edmund Moonan (PRESIDENT) |
Authorized Official Contact | 4013530555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Denis E. Moonan, Md, Inc 1515 Smith Street Suite N Denis RI 02911-2947 Ph: (401) 353-0555 | Denis E. Moonan, Md, Inc 1515 Smith Street Suite N North Providence RI 02911-2947 Ph: (401) 353-0555 |
NPI Number | 1316268741 |
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Provider Enumeration Date | 06/21/2010 |
Last Update Date | 06/21/2010 |
Medicare PECOS PAC ID | 7416145107 |
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Medicare Enrollment ID | O20101222000290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316268741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD5654 (Rhode Island) | Primary |
Provider Name | Denis E Moonan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386626174 PECOS PAC ID: 2264597319 Enrollment ID: I20090224000586 |
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