Individual
THOMAS EDWARD NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 SCHOOL ST, STE 112, PAWTUCKET, RI 02860-5335
(401) 723-1210
(401) 312-2099
Mailing address
333 SCHOOL ST, STE 112, PAWTUCKET, RI 02860-5335
(401) 723-1210
(401) 312-2099
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD09416
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005816
—
RI
05
—
7005916
—
RI
01
—
A2191302
MEDICARE PTAN
RI
Enumeration date
03/30/2006
Last updated
12/01/2010
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