Goldman, Glenn David

Goldman, Glenn David is an individual health care provider with primary practice located at 354 Mountain View Dr Ste 300 , Colchester VT 05446-5988. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Goldman, Glenn David can be contacted via phone (802) 864-0192.

Contact Information

Primary practice address
354 Mountain View Dr Ste 300 Colchester VT 05446-5988
Phone: (802) 864-0192
Fax: (802) 860-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 0420009351 Vermont
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0420009351 Vermont

Profile Details

NPI number 1992717458
LBN Legal business name Goldman, Glenn David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 5th, 2024 - about last year

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 1992717458 NPPES
Vermont MEDICAID 0VN1395
Vermont MEDICAID 01669910

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