Goldberg, Marcia B

Goldberg, Marcia B is an individual health care provider with primary practice located at 55 Fruit St Grj 5, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Goldberg, Marcia B can be contacted via phone (617) 726-3812.

Contact Information

Primary practice address
55 Fruit St Grj 5 Boston MA 02114-2621
Fax: (617) 726-7416
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56677 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 56677 Massachusetts

Profile Details

NPI number 1700877834
LBN Legal business name Goldberg, Marcia B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Nov 25th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700877834 NPPES
Massachusetts MEDICAID 3199754
Massachusetts Other J21620
Massachusetts Other 056677

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