# ALISA B GOLDBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013968551
- **Gender:** F
- **Credential:** MD MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 154551 | MA | Yes |
| 207VG0400X | Gynecology Physician | 154551 | MA | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 06/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2035651 | — | MA |