MEDICARE: DR. JOHN THOMAS MCCAFFREY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	DO332	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063440287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN THOMAS MCCAFFREY DO

Provider Business Mailing Address
First Line	:	409 BROADWAY
Second Line	:
City	:	NEWPORT
State	:	RI
Zip	:	02840-1740
Country	:	US
Telephone Number	:	401-849-1280
Fax Number	:	401-847-2815

Provider Business Practice Location Address
First Line	:	409 BROADWAY
Second Line	:
City	:	NEWPORT
State	:	RI
Zip	:	02840-1740
Country	:	US
Telephone Number	:	401-849-1280
Fax Number	:	401-847-2815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/08/2007

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