Individual
DR. MARCUS JACOB GOLDMAN
Active
Individual
DR. MARCUS JACOB GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
59122
MA
2084P0800X
Psychiatry Physician
Primary
59122
MA
2084P0802X
Addiction Psychiatry Physician
59122
MA
2084P0805X
Geriatric Psychiatry Physician
59122
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26793
HEALTHNET
MA
05
—
3094511
—
MA
01
—
765922
TUFTS
MA
01
—
J12267
BLUE SHIELD
MA
Enumeration date
07/28/2006
Last updated
05/07/2008
Update your record
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