Individual
MRS. MERYL G GOLDHABER
Active
Individual
MRS. MERYL G GOLDHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD10336
RI
2084N0400X
Neurology Physician
10336
RI
2084N0600X
Clinical Neurophysiology Physician
Primary
10336
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050513332
UNITED HEALTH CARE
RI
01
—
103360
TUFTS
ID
01
—
130026411
RAILROAD MEDICARE
RI
01
—
1326033242
NPI
RI
01
—
21342
BLUE CROSS BLUE SHIELD
RI
01
—
2499541
AETNA
RI
01
—
407238
BLUE CHIP
RI
01
—
5986974001
CIGNA
RI
05
—
7008535
—
RI
01
—
AA2917
PILGRIM
RI
Enumeration date
09/16/2005
Last updated
06/30/2008
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