Individual provider · Type 1 NPI

Jack Morton Monchik, MD

Specialist · Providence, RI

NPI number 1669529004 Active

Practice location

154 Waterman Street
Providence, RI 02906-5713

Call (401) 351-1853 Map

Mailing address

151 Slater Ave
Providence, RI 02906-5713

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4594 (RI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669529004

Jack Morton Monchik, MD's National Provider Identifier is 1669529004, issued on Jan 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.