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NPI Code Detail

MEDICARE: PATRICK R MCNAMARA PA

MEDICARE: PATRICK R MCNAMARA PA
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
1363A00000XPhysician AssistantPA3840MA
2363A00000XPhysician AssistantPA00564RI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4001316901OTHERRIRI MEDICARE
5939025129OTHERRIRI MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112-01-2010OTHERRIUNITED HEALTHCARE
212-09-2010OTHERRINHPRI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841423209
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK R MCNAMARA PA
Provider Business Mailing Address
First Line : PO BOX 9484
Second Line :
City : PROVIDENCE
State : RI
Zip : 02940-9484
Country : US
Telephone Number : 401-854-2500
Fax Number : 401-854-2519
Provider Business Practice Location Address
First Line : 593 EDDY ST
Second Line : CLAVERICK 2
City : PROVIDENCE
State : RI
Zip : 02903-4923
Country : US
Telephone Number : 401-519-1604
Fax Number : 401-272-0538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2009
Last Update Date : 06/22/2026

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Directions to “ PATRICK R MCNAMARA PA” Practice Location

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