Active NPIIndividual providerSole proprietor

Dr. Denis E Moonan Jr., MD

Internal Medicine, Geriatric Medicine in North Providence, Rhode Island

NPI Number1386626174
Practice location
1515 Smith St, Suite N, North Providence, RI 02911-2947
Fax
401-353-7079
Last updated
September 9, 2016

Denis E Moonan is an Internal Medicine, Geriatric Medicine based in North Providence, RI. Denis E Moonan practices in North Providence, RI and has the professional credentials of MD. The NPI Number for Denis E Moonan is 1386626174 and holds a License No. MD05654 (RI). The current practice location address for Denis E Moonan is 1515 Smith St, Suite N, North Providence, RI 02911-2947 and can be reached out via phone at 401-353-0555 and via fax at 401-353-7079.

Provider Profile Details

NPI Number
1386626174
Provider Name
Denis E Moonan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1515 Smith St, Suite N, North Providence, RI 02911-2947
Phone Number
401-353-0555
Fax Number
401-353-7079
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
Yes
Provider Enumeration Date
November 16, 2005
Last Update Date
September 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1515 Smith St
Suite N
North Providence, RI 02911-2947
Zip
02911-2947
Phone Number
401-353-0555
Fax Number
401-353-7079
North Providence, RI 02911Get directions →

Provider Business Mailing Address Details

Address
1515 Smith St
Suite N
North Providence, RI 02911-2947
City
North Providence
State
RI
Zip
02911-2947
Phone Number
401-353-0555
Fax Number
401-353-7079

License Information

License Number (1)
MD05654
License State (1)
RI
Taxonomy (1)
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
License Number (2)
MD05654
License State (2)
RI
Taxonomy (2)
Internal Medicine, Addiction Medicine · 207RA0401X
License Number (3)
MD05654
License State (3)
RI
Taxonomy (3)
Pathology, Anatomic Pathology · 207ZP0101X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Denis E Moonan Jr., MD?

The NPI number of Dr. Denis E Moonan Jr., MD is 1386626174. It was assigned on November 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Denis E Moonan Jr., MD?

Dr. Denis E Moonan Jr., MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in RI under license number MD05654.

Where does Dr. Denis E Moonan Jr., MD practice?

The practice location is 1515 Smith St, Suite N, North Providence, RI 02911-2947. The office can be reached at 401-353-0555 (phone) or 401-353-7079 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386626174 directly on the NPPES registry website.

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