| John Mcgonigle Md Llc | |
|
201 Waterman Ave East Providence RI 02914-3522 | |
| (401) 572-3300 | |
| (401) 572-3301 |
| Full Name | John Mcgonigle Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Waterman Ave, East Providence, Rhode Island |
| Authorized Official Name and Position | John Mcgonigle (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 4015723300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Mcgonigle Md Llc 201 Waterman Ave East Providence RI 02914-3522 Ph: (401) 572-3300 | John Mcgonigle Md Llc 201 Waterman Ave East Providence RI 02914-3522 Ph: (401) 572-3300 |
| NPI Number | 1396320057 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Medicare PECOS PAC ID | 0345649562 |
|---|---|
| Medicare Enrollment ID | O20210520001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396320057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John D Mcgonigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982717807 PECOS PAC ID: 5294889259 Enrollment ID: I20090811000308 |
Alex Mandel, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Massasoit Ave, Suite 300, East Providence, RI 02914 Phone: 401-434-8226 Fax: 401-434-4178 | |
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Daniela Turacova Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Taunton Avenue, Suite 100, East Providence, RI 02914 Phone: 401-438-0888 | |
Dsmt At East Providence Senior Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Waterman Ave, East Providence, RI 02914 Phone: 401-435-7800 Fax: 401-435-7803 | |
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