NPI 1083787816

Jon a Mukand

Practitioner Physical Medicine & Rehabilitation Physician Providence, RI

Practice location

Address: 21 Peace St, Providence, RI 02907-1510
Phone: (401) 456-4409
Mailing address: 200 High Service Ave, North Providence, RI 02904-5113

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD07544 (RI)

Other Physical Medicine & Rehabilitation providers in Rhode Island →

Registry record

NPI: 1083787816
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2006
Record last updated: 20 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.