Individual
FEDERICO GOMEZ BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 WARREN AVE STE 104, EAST PROVIDENCE, RI 02914-1432
(401) 606-3711
(401) 606-3712
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
68756
CT
2084P0800X
Psychiatry Physician
Primary
MD19158
RI
Other
Enumeration date
04/09/2018
Last updated
04/11/2023
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