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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619942679 | NPPES |
| Massachusetts | MEDICAID | 9768939 |
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