Individual
NEIL MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 423-6410
Mailing address
PO BOX 414521, BOSTON, MA 02241-4521
(877) 803-7812
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
031926
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001319260
—
CT
Enumeration date
04/04/2006
Last updated
09/02/2016
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