Goldberg, Amy

Goldberg, Amy is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Goldberg, Amy can be contacted via phone (401) 444-3996.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Fax: (401) 444-3804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10624 Rhode Island
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X MD10624 Rhode Island

Profile Details

NPI number 1417994542
LBN Legal business name Goldberg, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 26th, 2016 - about 9 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 1417994542 NPPES
Rhode Island MEDICAID 7009202

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