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1346237039

NPI Code Detail

MEDICARE: DR. RONALD GILMAN MD

MEDICARE: DR. RONALD GILMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD04781	RI
2	207RP1001X	Pulmonary Disease Physician	MD04781	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	709004158	OTHER	RI	GROUP MEDICARE
2	290010495	OTHER	RI	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346237039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD GILMAN MD

Provider Business Mailing Address
First Line	:	DEPT 3010, PO BOX 986524
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02298-6524
Country	:	US
Telephone Number	:	401-443-4992
Fax Number	:	401-537-7241

Provider Business Practice Location Address
First Line	:	375 WAMPANOAG TRL
Second Line	:
City	:	RIVERSIDE
State	:	RI
Zip	:	02915-2232
Country	:	US
Telephone Number	:	401-649-4070
Fax Number	:	401-649-4071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/01/2024

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Directions to “ DR. RONALD GILMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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