Individual
ALISSA JO GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 HARRISON AVE STE 207, BOSTON, MA 02111-1817
(617) 636-0405
(617) 636-0408
Mailing address
136 HARRISON AVE STE 207, BOSTON, MA 02111-1817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
05/24/2023
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