Goldberger, Sam
Goldberger, Sam is an sole proprietor health care provider with primary practice located at 223 Grant Ave , Newton Center MA 02459-2013. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Goldberger, Sam can be contacted via phone (310) 880-0017.Contact Information
Primary practice address
223 Grant Ave
Newton Center MA 02459-2013
Phone: (310) 880-0017
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G62027 | California |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 266664 | Massachusetts |
Profile Details
NPI number | 1982643144 |
---|---|
LBN Legal business name | Goldberger, Sam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 5th, 2006 |
Last updated | Feb 7th, 2021 - about 4 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 | 1982643144 | NPPES |
California | MEDICAID | 0G620270 |
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