Individual
THOMAS J. KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
946 TUCKERTOWN RD # F, WAKEFIELD, RI 02879-2732
(401) 783-0874
Mailing address
946 TUCKERTOWN RD # F, WAKEFIELD, RI 02879-2732
(401) 783-0874
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33817
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018853
—
MA
Enumeration date
07/25/2006
Last updated
02/24/2010
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