Goldberg, Mary L
Goldberg, Mary L is an sole proprietor health care provider with primary practice located at 53 Langley Rd Suite 330, Newton Center MA 02459-1913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Goldberg, Mary L can be contacted via phone (617) 671-1239.Contact Information
Primary practice address
53 Langley Rd Suite 330
Newton Center MA 02459-1913
Phone: (617) 671-1239
Fax: (617) 671-1239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 158556 | Massachusetts |
Profile Details
| NPI number | 1114945193 |
|---|---|
| LBN Legal business name | Goldberg, Mary L |
| Credentials | MS,RN,CS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 28th, 2013 - 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 | 1114945193 | NPPES |
| Massachusetts | Other | 458483 | TUFTS |
| Massachusetts | Other | PN0833 | TUFTS |
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