Individual
KEITH MONCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 PROMENADE ST, PROVIDENCE, RI 02908-5794
(401) 459-4001
(401) 459-4006
Mailing address
285 PROMENADE ST, PROVIDENCE, RI 02908-5794
(401) 459-4001
(401) 459-4006
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD12614
RI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD12614
RI
Other
Enumeration date
04/20/2007
Last updated
06/16/2015
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