Goldman, Boris
Goldman, Boris is an sole proprietor health care provider with primary practice located at 2 Winding Brook Rd , Newtown CT 06470-2534. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goldman, Boris can be contacted via phone (203) 426-7018.Contact Information
Primary practice address
2 Winding Brook Rd
Newtown CT 06470-2534
Phone: (203) 426-7018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 034822 | Connecticut |
Profile Details
| NPI number | 1104821560 |
|---|---|
| LBN Legal business name | Goldman, Boris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1104821560 | NPPES |
| Connecticut | MEDICAID | 001348227 |
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