Individual
DR. MICHELLE BRADLEY GORGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, DAVOL ROOM 129, PROVIDENCE, RI 02903-4923
(401) 444-3115
(401) 490-0979
Mailing address
45 WOODBRIDGE DR, EAST GREENWICH, RI 02818-1325
(401) 444-4676
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15007
RI
207R00000X
Internal Medicine Physician
245144
MA
Other
Enumeration date
06/15/2010
Last updated
02/06/2023
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