Individual
DR. ALLAN MOISES GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, WRN 11, BOSTON, MA 02114-2696
(617) 726-0270
(617) 726-2167
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
150801
MA
2086S0120X
Pediatric Surgery Physician
150801
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172731
—
MA
01
—
730779
TUFTS HEALTH PLAN
MA
01
—
J24954
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
12/20/2012
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