Danielle Gagnon, MD
Family Medicine in Tiverton, RI. Individual provider (NPI-1).
NPI number1164051249
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1164051249
- Entity type
- Individual (NPI-1)
- Name
- Danielle Gagnon
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2020
- Certification date
- Jun 12, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD19200 | RI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
711 Main RdTiverton, RI 02878-1352
Phone 401-624-1400
Mailing address
117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone 401-444-6779
Other practice locations
1 Guthrie Sq
Sayre, PA 18840-1625
Sayre, PA 18840-1625
Phone 570-888-6666
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All 8 Family Medicine Physician providers in Tiverton · All 182 providers in Tiverton
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