Goldberg, Beverly A

Goldberg, Beverly A is an individual health care provider with primary practice located at 275 Varnum Ave Suite 203, Lowell MA 01854-2109. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Goldberg, Beverly A can be contacted via phone (978) 934-9220.

Contact Information

Primary practice address
275 Varnum Ave Suite 203 Lowell MA 01854-2109
Phone: (978) 934-9220
Fax: (978) 453-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 77723 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 77723 Massachusetts

Profile Details

NPI number 1154316693
LBN Legal business name Goldberg, Beverly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Aug 25th, 2016 - about 9 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 1154316693 NPPES
Massachusetts Other 41500 FALLON
Massachusetts Other 077723 FALLON
Massachusetts Other PI12041160 FALLON
Massachusetts MEDICAID 02551031 FALLON
Massachusetts Other 2803598 FALLON
Massachusetts Other J14721 FALLON
Massachusetts Other 23740 FALLON
Massachusetts Other 976462 FALLON
Massachusetts Other 0024274 FALLON
Massachusetts MEDICAID 3129764 FALLON

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