Individual
DR. MICHAEL J MONSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3525
(401) 438-5950
(401) 435-6700
Mailing address
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3525
(401) 438-5950
(401) 435-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01056415A
IN
207RN0300X
Nephrology Physician
Primary
14468
RI
207RN0300X
Nephrology Physician
257637
MA
Other
Enumeration date
09/06/2005
Last updated
10/06/2014
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