SearchRhode Island101YA0400X

Matthew Johnson

NPI 1649738428 · on the registry since 2019 · sole proprietor

Practice

Address
1443 Hartford Ave
Johnston, RI 02919
Phone
(401) 273-8100
Fax
(401) 861-8696
Organisation at this address
Gateway Healthcare, Inc
Gateway Health Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Additional practice sites

  • 2 Barber Ave, Warwick, RI
  • 2 Barber Ave, Warwick, RI

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-20

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