Individual
DR. GOFRAN K TARABULSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 DUDLEY STREET, SUITE 3352, PROVIDENCE, RI 02905
(401) 274-1122
(401) 453-7658
Mailing address
101 DUDLEY STREET, SUITE 3352, PROVIDENCE, RI 02905-2499
(401) 274-1122
(401) 453-7658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15476
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2013
Last updated
08/01/2024
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