Goldman, Laura N

Goldman, Laura N is an individual health care provider with primary practice located at 409 W Broadway Dept Family Medicine, South Boston MA 02127-2245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goldman, Laura N can be contacted via phone (617) 269-7500.

Contact Information

Primary practice address
409 W Broadway Dept Family Medicine South Boston MA 02127-2245
Phone: (617) 269-7500
Fax: (617) 464-7524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56550 Massachusetts

Profile Details

NPI number 1205800455
LBN Legal business name Goldman, Laura N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 7th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205800455 NPPES
Massachusetts MEDICAID 3003434

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