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NPI Code Detail

MEDICARE: DR. JOSEPH D. HEINEMAN M.D.

MEDICARE:  DR. JOSEPH D. HEINEMAN  M.D.
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
1208800000XUrology PhysicianMD10348RI

Other Identifiers

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

General Provider Information

NPI Number : 1154394096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH D. HEINEMAN M.D.
Provider Business Mailing Address
First Line : 38 POWEL AVE
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2655
Country : US
Telephone Number : 401-847-2418
Fax Number : 401-619-1028
Provider Business Practice Location Address
First Line : 38 POWEL AVE
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2655
Country : US
Telephone Number : 401-847-2418
Fax Number : 401-619-1028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 02/05/2010

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Directions to “ DR. JOSEPH D. HEINEMAN M.D.” Practice Location

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