Individual
DR. JOHN FX HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 CENTERVILLE RD, WARWICK, RI 02886-4347
(401) 606-2680
Mailing address
1592 BROAD ST, CRANSTON, RI 02905-4130
(401) 467-3350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00320
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001058
BLUECHIP
RI
01
—
01-00146
UNITED HEALTH
RI
01
—
3061-4
BLUE CROSS
RI
05
—
7001943
—
RI
Enumeration date
09/07/2005
Last updated
03/07/2022
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