Individual
TIMOTHY JOSEPH MANOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 NOOSENECK HILL RD, COVENTRY, RI 02816-6705
(401) 821-6981
(401) 821-1352
Mailing address
1620 NOOSENECK HILL RD, COVENTRY, RI 02816-6705
(401) 821-6981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09926
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP46184
—
RI
Enumeration date
08/30/2006
Last updated
02/10/2023
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