NPI 1275601056

Michael Anthony McGourty, PAC

Practitioner Medical Physician Assistant Newport, RI

Practice location

Address: 93 Thames St, Newport, RI 02840-2536
Phone: (401) 846-4150
Fax: (401) 846-9340
Mailing address: 56 Oak St, Middletown, RI 02842-4945

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PAC00221 (RI)

Other Physician Assistant providers in Rhode Island →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA00221 (RI)

Registry record

NPI: 1275601056
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2006
Record last updated: 21 Dec 2018

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.