Individual
SAMUEL J. GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Mailing address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
11562
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011562
TUFTS PIN
NH
01
—
0406289
UHC PIN
NH
01
—
2864160
AETNA PIN
NH
05
—
30222124
—
NH
01
—
579605
CIGNA PIN
NH
01
—
692523
HPHC PIN
NH
01
—
H60241
ANTHEM REFERRING UPIN
NH
01
—
O4YP03808NH01
ANTHEM ACES PIN
NH
Enumeration date
11/08/2005
Last updated
07/09/2007
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