| Bruce Martin Goldstein, MD | |
|
195 Sessions St, Providence, RI 02906-3442 | |
| (401) 274-4578 | |
| Not Available |
| Full Name | Bruce Martin Goldstein |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 195 Sessions St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326020215 | NPI | - | NPPES |
| 0152692 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 49083 (Massachusetts) | Primary |
| Entity Name | Allergy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295151322 PECOS PAC ID: 9436472701 Enrollment ID: O20141218001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Martin Goldstein, MD 195 Sessions St, Providence, RI 02906-3442 Ph: (401) 274-4578 | Bruce Martin Goldstein, MD 195 Sessions St, Providence, RI 02906-3442 Ph: (401) 274-4578 |
Stanley H. Block, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-444-0414 Fax: 401-354-1428 | |
Dr. Mary Ann C Passero, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 120 Dudley St, Suite 203, Providence, RI 02905 Phone: 401-331-8787 Fax: 401-455-0256 | |
John F Zwetchkenbaum, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1056 Hope St, Providence, RI 02906 Phone: 401-751-1235 Fax: 401-751-4744 | |
Dr. Marcella Rita Aquino, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-6195 Fax: 401-444-6378 | |
Christina Amy Streets, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1056 Hope St, Providence, RI 02906 Phone: 401-751-1235 | |
Nicholas Allen Gregory, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-2737 Fax: 401-649-4248 |