Goldberg, Dori
Goldberg, Dori is an individual health care provider with primary practice located at 281 Lincoln St Division Of Dermatology, Worcester MA 01605-2138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Goldberg, Dori can be contacted via phone (508) 334-5979.Contact Information
Primary practice address
281 Lincoln St Division Of Dermatology
Worcester MA 01605-2138
Phone: (508) 334-5979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 231618 | Massachusetts |
Profile Details
| NPI number | 1922159961 |
|---|---|
| LBN Legal business name | Goldberg, Dori |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Nov 16th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922159961 | NPPES |
| Massachusetts | MEDICAID | 110077320A | |
| Massachusetts | MEDICAID | 2141922 |
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