Individual
DR. BORIS GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 WINDING BROOK RD, NEWTOWN, CT 06470-2534
(203) 426-7018
Mailing address
32 IMPERIAL AVE, 2ND FLOOR, WESTPORT, CT 06880-4328
(203) 222-3700
(203) 222-3703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
034822
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001348227
—
CT
Enumeration date
06/14/2005
Last updated
07/08/2007
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