Provider Demographics
NPI:1134110604
Name:NEUMANN, DAVID P (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:125 METRO CENTER BLVD STE 2000
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1785
Mailing Address - Country:US
Mailing Address - Phone:401-432-2520
Mailing Address - Fax:401-453-8220
Practice Address - Street 1:125 METRO CENTER BOUELVARD
Practice Address - Street 2:SUITE 2000
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-432-2520
Practice Address - Fax:401-453-8220
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI88192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000001988OtherNHPRI
300089722OtherRAILROAD MEDICARE
3097781OtherHEALTHY START
403498OtherBLUE CHIP
008819OtherTUFTS
1600203OtherUNITED HEALTH PLANS
3097781OtherMASS MEDICAID
720076802OtherCIGNA
008819OtherBLUE SHIELD
8819OtherBLUE CHIP SENIORS
007006602OtherHOSPITAL PIN
241369OtherRIHPILGRIM
7006601OtherRI MEDICAL ASSISTANCE