Individual
DR. RONALD GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4070
(401) 649-4071
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD04781
RI
207RP1001X
Pulmonary Disease Physician
Primary
MD04781
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290010495
RR MEDICARE
RI
05
—
7002787
—
RI
01
—
709004158
GROUP MEDICARE
RI
Enumeration date
09/29/2005
Last updated
02/01/2024
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