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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