Goldman, Jeffrey A
Goldman, Jeffrey A is an individual health care provider with primary practice located at 1 Thompson Sq Suite 203, Charlestown MA 02129-3328. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goldman, Jeffrey A can be contacted via phone (617) 242-0663.Contact Information
Primary practice address
1 Thompson Sq Suite 203
Charlestown MA 02129-3328
Phone: (617) 242-0663
Fax: (617) 242-8539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14476 | Massachusetts |
Profile Details
| NPI number | 1689661472 |
|---|---|
| LBN Legal business name | Goldman, Jeffrey A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1689661472 | NPPES |
| Massachusetts | MEDICAID | 0256714 |
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