Goljan, Walter K

Goljan, Walter K is an individual health care provider with primary practice located at 255 Park Ave Suite 400, Worcester MA 01609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goljan, Walter K can be contacted via phone (508) 755-9776.

Contact Information

Primary practice address
255 Park Ave Suite 400 Worcester MA 01609
Phone: (508) 755-9776
Fax: (508) 793-0715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52685 Massachusetts

Profile Details

NPI number 1619942679
LBN Legal business name Goljan, Walter K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 5th, 2012 - about 13 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 1619942679 NPPES
Massachusetts MEDICAID 9768939

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