MEDICARE: DR. MICHAEL DONNELLY MCQUIGGAN 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
1	2084P0800X	Psychiatry Physician	MD15162	RI

General Provider Information

NPI Number	:	1437413986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DONNELLY MCQUIGGAN M.D.

Provider Business Mailing Address
First Line	:	1454 S COUNTY TRL
Second Line	:
City	:	EAST GREENWICH
State	:	RI
Zip	:	02818-1749
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1454 S COUNTY TRL
Second Line	:
City	:	EAST GREENWICH
State	:	RI
Zip	:	02818-1749
Country	:	US
Telephone Number	:	402-606-4415
Fax Number	:

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

Provider Enumeration Date	:	06/29/2012
Last Update Date	:	07/31/2016

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