| Duane T Golomb Md Inc | |
|
766 Washington St Corentry RI 02816 | |
| (401) 822-2772 | |
| (401) 821-5260 |
| Full Name | Duane T Golomb Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 766 Washington St, Corentry, Rhode Island |
| Authorized Official Name and Position | Duane Thomas Golomb (PRESIDENT) |
| Authorized Official Contact | 4018222772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duane T Golomb Md Inc 766 Washington St Corentry RI 02816 Ph: (401) 822-2772 | Duane T Golomb Md Inc 766 Washington St Corentry RI 02816 Ph: (401) 822-2772 |
| NPI Number | 1912000894 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912000894 | NPI | - | NPPES |
| 7006908 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6442 (Rhode Island) | Primary |