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Individual

MICHAEL G. GOLDSTEIN

Active
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Individual

MICHAEL G. GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD06393
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30529-1
BCBS RI
RI
01
403848
BLUECHIP
RI
05
9006222
RI
Enumeration date
01/09/2006
Last updated
05/22/2008
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