Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD13718 | RI |
N | 111NI0900X | Internist | MD13718 | RI |
Y | 207RH0000X | Hematologist | 279755 | MA |
N | 207RH0003X | Hematology & Oncology | MD13718 | RI |
N | 207RX0202X | Medical Oncology | 279755 | MA |
NPI | 1295913242 |
---|---|
Provider Name | Dr. Laura Goldberg |
First Address | Providence, RI 02903-4923 |
Second Address | Boston, MA 02115-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2008 |
Last Update Date | 12/09/2019 |