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
Fax: (978) 882-6855
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820941 NPPES
Massachusetts MEDICAID 3023125

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