Dr. J Russell Corcoran, MD
Internal Medicine, Geriatric Medicine in Wakefield, Rhode Island
1689661241- Practice location
- 70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239
- Phone
- 401-783-0084
- Fax
- 401-782-0005
- Last updated
- August 7, 2015
J Russell Corcoran is an Internal Medicine, Geriatric Medicine based in Wakefield, RI. J Russell Corcoran practices in Wakefield, RI and has the professional credentials of MD. The NPI Number for J Russell Corcoran is 1689661241 and holds a License No. MD06582 (RI). The current practice location address for J Russell Corcoran is 70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239 and can be reached out via phone at 401-783-0084 and via fax at 401-782-0005.
Provider Profile Details
- NPI Number
- 1689661241
- Provider Name
- J Russell Corcoran
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239
- Phone Number
- 401-783-0084
- Fax Number
- 401-782-0005
- Primary Taxonomy
- Internal Medicine, Geriatric Medicine · 207RG0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2005
- Last Update Date
- August 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Kenyon Ave
Suite 215
Wakefield, RI 02879-4239 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-4239
- Phone Number
- 401-783-0084
- Fax Number
- 401-782-0005
Provider Business Mailing Address Details
- Address
- 100 Kenyon Ave
Wakefield, RI 02879-4216 - City
- Wakefield
- State
- RI
- Zip
- 02879-4216
- Phone Number
- 401-788-3929
License Information
- License Number (1)
- MD06582
- License State (1)
- RI
- Taxonomy (1)
- Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
- License Number (2)
- MD06582
- License State (2)
- RI
- Taxonomy (2)
- Hospitalist · 208M00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. J Russell Corcoran, MD?
The NPI number of Dr. J Russell Corcoran, MD is 1689661241. It was assigned on September 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. J Russell Corcoran, MD?
Dr. J Russell Corcoran, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in RI under license number MD06582.
Where does Dr. J Russell Corcoran, MD practice?
The practice location is 70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239. The office can be reached at 401-783-0084 (phone) or 401-782-0005 (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 1689661241 directly on the NPPES registry website.