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Prof. Eric Jonathan Goldlust, MD,PHD
Emergency Medicine Physician in Providence, Rhode Island
NPI 1578681391

Eric Jonathan Goldlust is a Emergency Medicine Physician based in Santa Clara, RI. Eric Jonathan Goldlust practices in Providence, RI and has the professional credentials of MD,PHD. The NPI Number for Eric Jonathan Goldlust is 1578681391 and holds a License No. 4301083569 (Rhode Island).

The current practice location address for Eric Jonathan Goldlust is 593 Eddy St, Providence, RI and can be reached out via phone at 401-519-1604 and via fax at 401-272-0538. You can also correspond with Eric Jonathan Goldlust through the mailing address at 700 LAWRENCE EXPY, SANTA CLARA, CA - 95051-5173 (mailing address contact number: 401-854-2500).

Location: 593 Eddy St, Providence, RI, 95051-5173
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Provider Profile Details
NPI Number
1578681391
Provider Name
Eric Jonathan Goldlust
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 95051-5173
Phone Number
401-519-1604
Fax Number
401-272-0538
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
939025129 01 RI RI MEDICARE GROUP NPI
007061003 01 RI RI MEDICARE
12292008 01 MA TUFTS
2157454 05 MA
EG72322 05 RI
10302008 01 RI NHPRI
P00711112 01 RI RAILROAD MEDICARE
09/30/2008 01 RI BCBS
04/15/2009 01 RI UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-519-1604
Fax Number
401-272-0538
person
Provider Business Mailing Address Details
Address
700 Lawrence Expy
City
State
Zip
95051-5173
Phone Number
401-854-2500
Fax Number
401-854-2519
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
MD12635 (Rhode Island)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4301083569 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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