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Individual

DR. JACOB GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
359 UNION AVE, FRAMINGHAM, MA 01702-6340
(508) 620-1919
(508) 820-3093
Mailing address
359 UNION AVE, FRAMINGHAM, MA 01702-6340
(508) 620-1919
(508) 820-3093

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32863
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3023621
MA
Enumeration date
07/17/2006
Last updated
07/08/2007
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