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Individual

MARINA D GOLDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
395 PLEASANT STREET, NORTHAMPTON, MA 01060
(413) 584-7787
(413) 584-7778
Mailing address
395 PLEASANT STREET, NORTHAMPTON, MA 01060
(413) 584-7787
(413) 584-7778

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
026-0067831
VT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN186337
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026-0067831
LICENSE
VT
Enumeration date
07/10/2010
Last updated
10/07/2011
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