Individual
DR. ANDREA GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 WARREN AVE STE 103, EAST PROVIDENCE, RI 02914-1432
(401) 606-4325
(401) 606-4329
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10532
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25801-6
BLUE SHIELD
RI
01
—
3900741
UNITED HEALTHCARE
RI
01
—
409408
BLUE CHIP
RI
01
—
7008835
EDS/WELFARE
RI
05
—
AG53282
—
RI
Enumeration date
12/27/2005
Last updated
02/20/2019
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