| Newport Personalized Medicine | |
|
1 Corporate Pl Middletown RI 02842-6406 | |
| (401) 619-4884 | |
| (401) 619-4886 |
| Full Name | Newport Personalized Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Corporate Pl, Middletown, Rhode Island |
| Authorized Official Name and Position | David Francis Cunningham (OWNER) |
| Authorized Official Contact | 4016194884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Personalized Medicine 1 Corporate Pl Middletown RI 02842-6406 Ph: (401) 619-4884 | Newport Personalized Medicine 1 Corporate Pl Middletown RI 02842-6406 Ph: (401) 619-4884 |
| NPI Number | 1992239081 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 06/22/2017 |
| Medicare PECOS PAC ID | 2365719085 |
|---|---|
| Medicare Enrollment ID | O20170601000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992239081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7724 (Rhode Island) | Primary |
| Provider Name | David F Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720073406 PECOS PAC ID: 3870520687 Enrollment ID: I20050725000027 |
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