Individual
MICHAEL G. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOPPIN ST, CORO CENTER, 3RD FLOOR, PROVIDENCE, RI 02903-4141
(401) 793-8770
Mailing address
PO BOX 3238, BOSTON, MA 02241-3238
(866) 689-8862
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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