IndividualActive
Jon Mukand
NPI 1083787816 · Physical Medicine & Rehabilitation Physician · Providence, RI
Provider details
- NPI number
- 1083787816
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD07544 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
21 Peace St
Providence, RI 02907-1510
Phone: (401) 456-4409
Approximate (ZIP-level) locationGet directions
Mailing address
200 High Service Ave
North Providence, RI 02904-5113
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2007-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.