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Individual

MRS. BETHANY MARIE GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
38 AMARAL STREET, RIVERSIDE, RI 02915
(401) 438-3300
(401) 453-7597
Mailing address
38 AMARAL STREET, RIVERSIDE, RI 02915
(401) 438-3300
(401) 453-7597

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37629
RI
363LW0102X
Women's Health Nurse Practitioner
Primary
CNPP37629
RI

Other

Enumeration date
06/28/2011
Last updated
09/24/2013
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