Search › Rhode Island › 363AM0700X
Michael Mcgourty, PA-C
NPI 1275601056 · on the registry since 2006
Practice
- Address
- 93 Thames St
Newport, RI 02840 - Phone
- (401) 846-4150
- Fax
- (401) 846-9340
- Organisation at this address
- Codac Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island