| 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 |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316268741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD5654 (Rhode Island) | Primary |
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