Gilmore, Judith M

Gilmore, Judith M is an sole proprietor health care provider with primary practice located at 24 Salt Pond Rd Suite G2, Wakefield RI 02879-4314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gilmore, Judith M can be contacted via phone (401) 788-8940.

Contact Information

Primary practice address
24 Salt Pond Rd Suite G2 Wakefield RI 02879-4314
Phone: (401) 788-8940
Fax: (401) 515-2670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 06935 Rhode Island

Profile Details

NPI number 1114003209
LBN Legal business name Gilmore, Judith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114003209 NPPES
Rhode Island Other 200353 BLUE CHIP
Rhode Island MEDICAID 9000265 BLUE CHIP
Rhode Island Other 265-7 BLUE CHIP
Rhode Island Other 33-00015 BLUE CHIP
Rhode Island Other 41D0084370 BLUE CHIP
Rhode Island Other 06935 BLUE CHIP
Rhode Island Other 0930958 BLUE CHIP

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