Denis E Moonan in North Providence - Addiction Medicine

Denis E Moonan - NPI 1386626174

Denis E Moonan is a Addiction Medicine in North Providence, Rhode Island. Denis E Moonan practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Denis E Moonan is 1386626174. The last update date is 2016-09-09.

Denis E Moonan's current location address is 1515 Smith St, North Providence, Rhode Island. You can contact this provider via phone number 4013530555 and fax number 4013537079. The mailing address for Denis E Moonan is 1515 Smith St, North Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Denis E Moonan
Address 1515 Smith St, North Providence, Rhode Island
Phone Number 4013530555
Fax Number 4013537079
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1386626174
Provider Enumeration Date 2005-11-16
Last Updated Date 2016-09-09

Provider Mailing Address Detail

Address 1515 Smith St
City North Providence
State Rhode Island (RI)
Post Code 29112947
Phone Number 4013530555
Fax Number 4013537079

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Ra0401X
Licence No MD05654
Definition:
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9002408 RI --
24088 RI BLUE CROSS BLUE SHIELD

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FAQs about Denis E Moonan

What is the unique identification code assigned to Denis E Moonan by the Centers for Medicare & Medicaid Services?

The Denis E Moonan has been issued the NPI (National Provider Identifier) 1386626174. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Denis E Moonan's facilities are geographically located?

The facilities of Denis E Moonan are physically situated at the following location: 1515 Smith St, North Providence, RI, 29112947.

What is Denis E Moonan's area of expertise and its corresponding taxonomy classification?

The Denis E Moonan's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.

When was the Denis E Moonan's 1386626174 issued?

The Denis E Moonan's 1386626174 was issued on 2005-11-16.

As of what date were the details related to Denis E Moonan most recently updated or revised?

The information pertaining to Denis E Moonan, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-09.

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