NPI: 1659418671 · COVENTRY, RI 02816 · Internal Medicine Physician · NPI assigned 01/31/2007
| Authorized Official | MANOWN, TIMOTHY (PRESIDENT) |
| NPI Enumeration Date | 01/31/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $926.51 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12 | 12 | $926.51 |