Provider Demographics
NPI:1003926452
Name:GOBEIL, RONALD C (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:GOBEIL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:425 LAKE AVE N
Mailing Address - Street 2:STE 101
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2047
Mailing Address - Country:US
Mailing Address - Phone:508-753-3220
Mailing Address - Fax:508-753-3224
Practice Address - Street 1:200 HIGH SERVICE AVENUE
Practice Address - Street 2:MARIAN HALL 1ST FLOOR
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-456-3649
Practice Address - Fax:401-752-8116
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-11-29
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Provider Licenses
StateLicense IDTaxonomies
MA569542084P0800X
RID0004482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7004262Medicaid
RI305590OtherBLUE CROSS BLUE SHIELD
RI1502534OtherUNITED BEHAVORIAL HEALTH
RI400111OtherBLUE CHIP
RI1502534OtherUNITED BEHAVORIAL HEALTH