Gonzalez, Eileen Marie L

Gonzalez, Eileen Marie L is an individual health care provider with primary practice located at 59 S County Commons Way Fl H32 , South Kingstown RI 02879-8270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gonzalez, Eileen Marie L can be contacted via phone (401) 783-0084.

Contact Information

Primary practice address
59 S County Commons Way Fl H32 South Kingstown RI 02879-8270
Phone: (401) 783-0084
Fax: (401) 782-0005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD09676 Rhode Island

Profile Details

NPI number 1134278369
LBN Legal business name Gonzalez, Eileen Marie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Apr 4th, 2024 - about last year

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 1134278369 NPPES
Rhode Island MEDICAID 7006212

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