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Individual

CRAIG E GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-7899
(508) 765-5458
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0320000406
VT
207Q00000X
Family Medicine Physician
Primary
73831
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04YP03636VT01
ANTHEM BLUE CROSS BLUE SH
01
080055781
UNITED HEALTHCARE RAILROA
01
08P023
MOHAWK VALLEY PLAN
01
10819350
BLUE CROSS BLUE SHIELD
Enumeration date
06/23/2006
Last updated
02/11/2025
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