Goldberg, Richard J

Goldberg, Richard J is an individual health care provider with primary practice located at 593 Eddy St Apc 978, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Goldberg, Richard J can be contacted via phone (401) 444-5291.

Contact Information

Primary practice address
593 Eddy St Apc 978 Providence RI 02903-4923
Phone: (401) 444-5291
Fax: (401) 444-6572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD05387 Rhode Island
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD05387 Rhode Island

Profile Details

NPI number 1518942739
LBN Legal business name Goldberg, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 3rd, 2013 - about 12 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 1518942739 NPPES
Rhode Island MEDICAID 7008464

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