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:
Health care specialties
Specialty | Code | License # | 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 11 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 | 1518942739 | NPPES |
Rhode Island | MEDICAID | 7008464 |
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