Goessling, Wolfram

Goessling, Wolfram is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Goessling, Wolfram can be contacted via phone (617) 726-2426.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 203754 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 203754 Massachusetts

Profile Details

NPI number 1083696298
LBN Legal business name Goessling, Wolfram
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Dec 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083696298 NPPES
Massachusetts Other 203754 TUFTS HEALTH PLAN
Massachusetts Other J24568 TUFTS HEALTH PLAN
Massachusetts MEDICAID 110005349A TUFTS HEALTH PLAN

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