IndividualActive
Sydney Moon, M.D.
NPI 1114954583 · Psychosomatic Medicine Physician · Providence, RI
Provider details
- NPI number
- 1114954583
- Entity type
- Individual
- Primary specialty
- Psychosomatic Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 14228 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Lifespan Physcian Group
Providence, RI 02903-4923
Phone: (401) 444-2128
Fax: (401) 444-8836
Approximate (ZIP-level) locationGet directions
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2017-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.