Goldman, Marcus Jacob

Goldman, Marcus Jacob is an sole proprietor health care provider with primary practice located at 138 Peakham Rd , Sudbury MA 01776-2916. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Goldman, Marcus Jacob can be contacted via phone (978) 808-7533.

Contact Information

Primary practice address
138 Peakham Rd Sudbury MA 01776-2916
Phone: (978) 808-7533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 59122 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 59122 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 59122 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 59122 Massachusetts

Profile Details

NPI number 1023022639
LBN Legal business name Goldman, Marcus Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated May 7th, 2008 - about 16 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 1023022639 NPPES
Massachusetts MEDICAID 3094511
Massachusetts Other J12267
Massachusetts Other 765922
Massachusetts Other 26793

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