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Organization

EDWARD J MCDONALD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD J MCDONALD R.O. (OPTICIAN)
(401) 738-6277
Entity
Organization

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
RO00104
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207247
BLUE CHIP
RI
01
2109056
UNITED HEALTH
RI
01
2873-1
BLUE CROSS
RI
01
29660
NEIGHBORHOOD HEALTH
RI
05
8678001
RI
Enumeration date
06/25/2006
Last updated
06/13/2008
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