DONALD RUSSELL HAGGERTY


Address: 246 Island Dr, Middletown, RI 02842-7509
Phone: (401) 619-3210

DONALD RUSSELL HAGGERTY (NPI# 1770001356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770001356
Entity Type Individual
Full Name DONALD RUSSELL HAGGERTY
Credential MD
Practice Address 246 Island Dr
Middletown
RI 02842-7509
Practice Telephone (401) 619-3210
Mailing Telephone 4016193210
Enumeration Date 2017-09-05
Last Update Date 2017-09-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 0101032627 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 246 ISLAND DR
City MIDDLETOWN
State RI
Zip Code 02842-7509

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City MIDDLETOWN
Zip Code 02842

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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