Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD07117 | RI |
NPI | 1336140797 |
---|---|
Provider Name | Dr. Thomas E Mcgue |
First Address | Portsmouth, RI 02871-2237 |
Second Address | Newport, RI 02841-1006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 03/07/2012 |