Individual
SAMUEL J. GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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