Individual
DR. AMY GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
78 BAKER STREET, PROVIDENCE, RI 02905-4417
(401) 781-2400
(401) 781-2687
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10598
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709004434
GROUP MEDICARE
RI
05
—
9023331
—
RI
01
—
990015559
RR MEDICARE
RI
Enumeration date
09/14/2005
Last updated
04/09/2024
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