IndividualActive
Jack Monchik, MD
NPI 1669529004 · Specialist · Providence, RI
Provider details
- NPI number
- 1669529004
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4594 (RI)
Specialties & taxonomies
Other Service Providers
Practice location
154 Waterman Street
Providence, RI 02906-5713
Phone: (401) 351-1853
Approximate (ZIP-level) locationGet directions
Mailing address
151 Slater Ave
Providence, RI 02906-5713
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.