1689310583 NPI number — DR. BRONA MUIREANN MOLONEY MB BCH BAO

Table of content: DR. BRONA MUIREANN MOLONEY MB BCH BAO (NPI 1689310583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689310583 NPI number — DR. BRONA MUIREANN MOLONEY MB BCH BAO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOLONEY
Provider First Name:
BRONA
Provider Middle Name:
MUIREANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MB BCH BAO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689310583
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28 WOODFORD, BREWERY ROAD
Provider Second Line Business Mailing Address:
STILLORGAN
Provider Business Mailing Address City Name:
DUBLIN
Provider Business Mailing Address State Name:
DUBLIN
Provider Business Mailing Address Postal Code:
A94W863
Provider Business Mailing Address Country Code:
IE
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MASS GENERAL BRIGHAM,
Provider Second Line Business Practice Location Address:
55 FRUIT STREET
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-980-2387
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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