Goldman, Marc A

Goldman, Marc A is an individual health care provider with primary practice located at 175 Carew St Ste 200 , Springfield MA 01104-2391. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Goldman, Marc A can be contacted via phone (413) 732-4269.

Contact Information

Primary practice address
175 Carew St Ste 200 Springfield MA 01104-2391
Fax: (413) 785-4619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42519 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42519 Massachusetts

Profile Details

NPI number 1003889726
LBN Legal business name Goldman, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 18th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003889726 NPPES
Massachusetts MEDICAID 110037496/A
Massachusetts MEDICAID 003117505

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