Individual
WALTER J GOULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 CORLISS ST STE B, PROVIDENCE, RI 02904-2602
(401) 793-8400
(401) 793-8402
Mailing address
180 CORLISS ST STE B, PROVIDENCE, RI 02904-2602
(401) 793-8400
(401) 793-8402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77245
MA
207R00000X
Internal Medicine Physician
Primary
MD09442
RI
Other
Enumeration date
04/18/2006
Last updated
10/19/2020
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