Individual
BEVERLY A GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 VARNUM AVE, SUITE 203, LOWELL, MA 01854-2109
(978) 934-9220
(978) 453-7771
Mailing address
275 VARNUM AVE, SUITE 203, LOWELL, MA 01854-2109
(978) 934-9220
(978) 453-7771
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
77723
MA
207RP1001X
Pulmonary Disease Physician
Primary
77723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024274
NEIGHBORHOOD HEALTH PLAN
MA
05
—
02551031
—
NY
01
—
077723
TUFTS
MA
01
—
23740
HARVARD PILGRIM
MA
01
—
2803598
AETNA
MA
05
—
3129764
—
MA
01
—
41500
FALLON
MA
01
—
976462
NETWORK HEALTH
MA
01
—
J14721
BCBS
MA
01
—
PI12041160
MULTIPLAN
MA
Enumeration date
09/12/2005
Last updated
08/25/2016
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