Individual
PROF. ERIC JONATHAN GOLDLUST
Active
Individual
PROF. ERIC JONATHAN GOLDLUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12635
RI
390200000X
Student in an Organized Health Care Education/Training Program
4301083569
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007061003
RI MEDICARE
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
09/30/2008
BCBS
RI
01
—
10302008
NHPRI
RI
01
—
12292008
TUFTS
MA
05
—
2157454
—
MA
01
—
939025129
RI MEDICARE GROUP NPI
RI
05
—
EG72322
—
RI
01
—
P00711112
RAILROAD MEDICARE
RI
Enumeration date
03/27/2007
Last updated
01/14/2022
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