Individual
DR. ANTOINETTE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-3100
(401) 793-3105
Mailing address
125 WHIPPLE ST, 3RD FLOOR, PROVIDENCE, RI 02908-3258
(401) 854-2504
(401) 427-7795
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD14996
RI
207P00000X
Emergency Medicine Physician
Primary
ME.127153
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102843A
—
MA
05
—
1922374792
—
RI
01
—
U400217887
MEDICARE NGS
RI
Enumeration date
03/27/2012
Last updated
06/14/2021
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