Goldberg, Larry Philip
Goldberg, Larry Philip is an individual health care provider with primary practice located at 104 Endicott St Suite 200, Danvers MA 01923-3623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goldberg, Larry Philip can be contacted via phone (978) 882-6868.Contact Information
Primary practice address
104 Endicott St Suite 200
Danvers MA 01923-3623
Phone: (978) 882-6868
Fax: (978) 882-6855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 49380 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 49380 | Massachusetts |
Profile Details
| NPI number | 1205820941 |
|---|---|
| LBN Legal business name | Goldberg, Larry Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | May 18th, 2012 - about 12 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 | 1205820941 | NPPES |
| Massachusetts | MEDICAID | 3023125 |
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