Individual
JOHN DERMOTT MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3522
(401) 572-3300
(401) 572-3301
Mailing address
201 WATERMAN AVE, EAST PROVIDENCE, RI 02914-3522
(401) 572-3300
(401) 572-3301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12897
RI
Other
Enumeration date
08/16/2006
Last updated
03/16/2021
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