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
Phone: (401) 444-3996
Fax: (401) 444-3804
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417994542 | NPPES |
Rhode Island | MEDICAID | 7009202 |
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