Dr. Denis E Moonan JR.
Geriatric Medicine Internist - Addiction Medicine
1515 Smith St Suite N
North Providence
, Rhode Island 02911-2947
Dr. Denis E Moonan JR.
Geriatric Medicine Internist - Addiction Medicine
1515 Smith St Suite N
North Providence
, Rhode Island 02911-2947
(401) 353-7079
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About
Features
Specialties
- Internist - Addiction Medicine
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Denis E Moonan JR.
- 1515 Smith St Suite N
- North Providence, RI
- Zip : 02911-2947
- Fax : (401) 353-7079
- Phone : (401) 353-0555
Second Address
- Dr. Denis E Moonan JR.
- 1515 Smith St Suite N
- North Providence, RI
- Zip : 02911-2947
- Fax : (401) 353-7079
- Phone : (401) 353-0555
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FAQs
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Is Dr. Denis E Moonan JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | MD05654 | RI |
| Y | 207RG0300X | Geriatric Medicine | MD05654 | RI |
National Provider Identifier
| NPI | 1386626174 |
|---|---|
| Provider Name | Dr. Denis E Moonan JR. |
| First Address | North Providence, RI 02911-2947 |
| Second Address | North Providence, RI 02911-2947 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2005 |
| Last Update Date | 09/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 24088 | BLUE CROSS BLUE SHIELD (01) | RI |
| 9002408 | (05) | RI |
| C03521 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.