Individual
EILEEN MARIE L GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
59 S COUNTY COMMONS WAY FL H32, SOUTH KINGSTOWN, RI 02879-8270
(401) 783-0084
(401) 782-0005
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09676
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006212
—
RI
Enumeration date
01/09/2007
Last updated
04/04/2024
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