| Elisa Glubok Gonzalez, MD | |
|
115 Cass Ave, Woonsocket, RI 02895-4731 | |
| (401) 769-4100 | |
| Not Available |
| Full Name | Elisa Glubok Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 115 Cass Ave, Woonsocket, 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 |
|---|---|---|---|
| 1346879095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD19377 (Rhode Island) | Primary |
| 207Q00000X | Family Medicine | A184272 (California) | Secondary |
| 207Q00000X | Family Medicine | 04-51422 (Kansas) | Secondary |
| Entity Name | Santa Rosa Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa Glubok Gonzalez, MD 450 Clinton St, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 | Elisa Glubok Gonzalez, MD 115 Cass Ave, Woonsocket, RI 02895-4731 Ph: (401) 769-4100 |
Mr. Matthew Michael Malek, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6896 | |
Dr. Nithin Joseph Paul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-615-2800 | |
Cybill Oragwu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Cass Ave, Woonsocket, RI 02895 Phone: 401-767-1530 | |
Amber Cardoos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 | |
Linda J Berman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6899 | |
Gabriel J Pleasants, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6896 |