Individual
EDWARD J MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.O.
Contact information
Practice address
3466 W SHORE RD, WARWICK, RI 02886-5035
(401) 738-6277
Mailing address
3466 W SHORE RD, WARWICK, RI 02886-5035
(401) 738-6277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OP00104
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02109056
UNITED HEALTH CARE
RI
05
—
8678001
—
RI
Enumeration date
07/03/2008
Last updated
07/03/2008
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