Individual
JONATHAN S MOVSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
77298
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD09365
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
003117282
CT MED ASSISTANCE
—
01
—
007006231
HOSPITAL PIN
—
01
—
009365
BCBS
—
01
—
077298
TUFTS
—
01
—
1600203
UNITED HEALTH PLANS
—
01
—
240529
RIH PILGRIM
—
01
—
300084314
RR MEDICARE
—
05
—
3113094
—
MA
01
—
400681
BLUE CHIP
—
01
—
720071401
CIGNA
—
Enumeration date
10/18/2005
Last updated
03/25/2019
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