Individual
MAYA A GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 724-8400
Mailing address
59 FROST ST, CAMBRIDGE, MA 02140-2247
(781) 248-7240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RN254568
MA
363L00000X
Nurse Practitioner
254568
MA
363LA2200X
Adult Health Nurse Practitioner
254568
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0798983
—
MA
01
—
AA27837
HARVARD PILGRIM
MA
01
—
NP4930
BLUE CROSS
MA
Enumeration date
03/17/2006
Last updated
10/06/2023
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