Organization
DENIS E. MOONAN, MD, INC
Active
Organization
DENIS E. MOONAN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS EDMUND MOONAN JR. MD (PRESIDENT)
(401) 353-0555
Entity
Organization
Contact information
Practice address
1515 SMITH STREET, SUITE N, NORTH PROVIDENCE, RI 02911-2947
(401) 353-0555
(401) 353-7079
Mailing address
1515 SMITH STREET, SUITE N, DENIS, RI 02911-2947
(401) 353-0555
(401) 353-7079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD5654
RI
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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