Individual provider · Type 1 NPI
Michael Anthony McGourty, PA-C
Medical Physician Assistant · Newport, RI
NPI number
1275601056
Active
Practice location
93 Thames St
Newport, RI 02840-2536
Fax (401) 846-9340
Mailing address
56 Oak St
Middletown, RI 02842-4945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00221 (RI) |
| Medical Physician Assistant Primary | 363AM0700X | PAC00221 (RI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Newport
About NPI 1275601056
Michael Anthony McGourty, PA-C's National Provider Identifier is 1275601056, issued on Dec 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newport, RI. The record was last updated on Dec 21, 2018.