Individual
LAURA N GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
409 W BROADWAY, DEPT FAMILY MEDICINE, SOUTH BOSTON, MA 02127-2245
(617) 269-7500
(617) 464-7524
Mailing address
771 ALBANY ST, DOWLING 5 SOUTH, BOSTON, MA 02118-2525
(617) 414-4465
(617) 414-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56550
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003434
—
MA
Enumeration date
02/15/2006
Last updated
05/07/2012
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