Individual
RICHARD J GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-5291
(401) 444-6572
Mailing address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-6573
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD05387
RI
2084P0805X
Geriatric Psychiatry Physician
MD05387
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7008464
—
RI
Enumeration date
12/09/2005
Last updated
09/03/2013
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