Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Mugfor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558998260

Jared Mugfor is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

593 Eddy St Claverick 2
Providence, RI 02903
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4422 3rd Ave # 405, Bronx, NY 10457-2545 — (718) 960-6240

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO01245 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558998260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 16, 2023
Certification dateJune 7, 2023
Mailing address125 Whipple St Ste 3, Providence, RI 02908-3258

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