Goldstein, Bruce Martin
Goldstein, Bruce Martin is an sole proprietor health care provider with primary practice located at 195 Sessions St , Providence RI 02906-3442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Goldstein, Bruce Martin can be contacted via phone (401) 274-4578.Contact Information
Primary practice address
195 Sessions St
Providence RI 02906-3442
Phone: (401) 274-4578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 49083 | Massachusetts |
Profile Details
| NPI number | 1326020215 |
|---|---|
| LBN Legal business name | Goldstein, Bruce Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jan 14th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326020215 | NPPES |
| Massachusetts | MEDICAID | 0152692 |
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