Individual
JENNIFER ANN NOGUEIRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 CATAMORE BLVD, RHODE ISLAND MEDICAL IMAGING, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10359
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001988
NHPRI
—
01
—
010359
TUFTS
—
01
—
0158551
MASSMEDICAID
—
01
—
10359
BLUE SHIELD
—
01
—
16 00025
UNITED HEALTH PLANS
—
01
—
407647
BLUE CHIP
—
01
—
4833011
CIGNA
—
01
—
7008277
RI MEDICAL ASSISTANCE
—
01
—
AA26534
RIH PILGRIM
—
01
—
PAR
AETNA
—
Enumeration date
11/11/2005
Last updated
07/08/2007
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