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Contact Information

BRETT W GOUDIE, MD
1 HOPPIN ST
CORO BUILDING
PROVIDENCE, RI02903-4141
 Phone: 401-444-4612
 Fax: 401-793-8831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRETT W GOUDIE · (Male)

NPI Number 1679627798
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 05/03/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C10008082
  • MD License # D0068007
  • PA License # MD429590
  • RI License # RI13511
  • MD Medicaid 4110510
  • NJ Medicaid 109592
  • PA Medicaid 101712508
  • VA Medicaid 1679627798
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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