Individual
CATHERINE ANN DEGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
20 COMMONS CORNER WAY, SOUTH KINGSTOWN, RI 02879-2291
(401) 294-6170
(401) 295-5255
Mailing address
20 COMMONS CORNER WAY, SOUTH KINGSTOWN, RI 02879-2291
(401) 294-6170
(401) 295-5255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
239753
NY
207Q00000X
Family Medicine Physician
DO00652
RI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
DO00652
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001480401
MEDICARE PTAN
RI
05
—
CD78876
—
RI
Enumeration date
04/19/2007
Last updated
06/26/2025
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