Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | RI5380 | RI |
NPI | 1003815168 |
---|---|
Provider Name | Dr. Vaughn G Gooding JR. |
First Address | Warwick, RI 02886-4336 |
Second Address | Warwick, RI 02886-4336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 14/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7001925 | (05) | RI |
C65152 | (02) | RI |