Goldberg, Ilan Philip
Goldberg, Ilan Philip is an sole proprietor health care provider with primary practice located at 9 Meriam St Ste 22 , Lexington MA 02420-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goldberg, Ilan Philip can be contacted via phone (617) 667-2300.Contact Information
Primary practice address
9 Meriam St Ste 22
Lexington MA 02420-5312
Phone: (617) 667-2300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 234400 | Massachusetts |
Profile Details
NPI number | 1356463434 |
---|---|
LBN Legal business name | Goldberg, Ilan Philip |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 6th, 2007 |
Last updated | Aug 26th, 2010 - about 14 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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