Individual
CARMEN K GOOJHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 BREWSTER ST, FCC TEAM C, PAWTUCKET, RI 02860-4474
(401) 729-2769
(401) 729-2772
Mailing address
111 BREWSTER ST, FCC TEAM C, PAWTUCKET, RI 02860-4474
(401) 729-2769
(401) 729-2772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LP02531
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP02531
RHODE ISLAND LICENSE
RI
Enumeration date
07/16/2012
Last updated
07/16/2012
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