JACK MORTON MONCHIK

PROVIDENCE, RI
NPI1669529004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: RI  4594)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
-- JACK MORTON MONCHIK MD
154 WATERMAN STREET
PROVIDENCE, RI 02906-5713
Phone number: 401-351-1853
Mailing Address
-- JACK MORTON MONCHIK MD
151 SLATER AVE
PROVIDENCE, RI 02906-5713
Phone number: 401-351-1853
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