Individual
DR. JOHN PHILIP HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38 POWEL AVE, NEWPORT, RI 02840-2655
(401) 847-2418
(401) 619-1028
Mailing address
38 POWEL AVE, NEWPORT, RI 02840-2655
(401) 847-2418
(401) 619-1028
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD09513
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006003
—
RI
Enumeration date
02/09/2006
Last updated
01/25/2010
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