Moniz, George M

Moniz, George M is an individual health care provider with primary practice located at 469 Centerville Rd Suite 105, Warwick RI 02886-4354. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Moniz, George M can be contacted via phone (401) 738-9200.

Contact Information

Primary practice address
469 Centerville Rd Suite 105 Warwick RI 02886-4354
Phone: (401) 738-9200
Fax: (401) 738-9400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM00277 Rhode Island
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DPM00277 Rhode Island

Profile Details

NPI number 1427158898
LBN Legal business name Moniz, George M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427158898 NPPES
Rhode Island MEDICAID CP19363

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