Individual
DR. DANIEL LEONARD REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1526 ATWOOD AVE, SUITE 100, JOHNSTON, RI 02919
(401) 273-9400
(401) 273-2339
Mailing address
1526 ATWOOD AVE, SUITE 100, JOHNSTON, RI 02919
(401) 273-9400
(401) 273-2339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RI6534
RI
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD06534
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007002
—
RI
Enumeration date
08/22/2006
Last updated
03/23/2018
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