Goldberg, Bruce A

Goldberg, Bruce A is an sole proprietor health care provider with primary practice located at 85 Constitution Lane Ste 200C Liberty Tree Park, Danvers MA 01923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Goldberg, Bruce A can be contacted via phone (978) 750-3670.

Contact Information

Primary practice address
85 Constitution Lane Ste 200C Liberty Tree Park Danvers MA 01923
Phone: (978) 750-3670
Fax: (978) 750-3606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 46504 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 46504 Massachusetts

Profile Details

NPI number 1568565190
LBN Legal business name Goldberg, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated May 27th, 2008 - about 16 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 1568565190 NPPES
Massachusetts MEDICAID 3015149
Massachusetts Other V02758
Massachusetts Other 046504

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