Individual
MS. MARY L GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RN,CS
Contact information
Practice address
53 LANGLEY RD, SUITE 330, NEWTON CENTER, MA 02459-1913
(617) 671-1239
(617) 671-1239
Mailing address
53 LANGLEY RD, SUITE 330, NEWTON CENTER, MA 02459-1913
(617) 671-1239
(617) 671-1239
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
158556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458483
TUFTS
MA
01
—
PN0833
BS/BS OF MASSACHUSETTS
MA
Enumeration date
07/17/2006
Last updated
03/28/2013
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