Individual
JAMES I GOLDSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 WESTON ST STE 2A, WALTHAM, MA 02453-7756
(781) 747-8480
(949) 577-4121
Mailing address
5 UPLAND WOODS CIR UNIT 208, NORWOOD, MA 02062-3192
(617) 962-6151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73331
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
73331
MA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
73331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001248733
UNITED HEALTH CARE #
MA
01
—
0029449
CIGNA #
—
01
—
073331
TUFTS #
MA
01
—
195221
PHCS #
MA
01
—
201253
HPHC #
MA
01
—
28929
CHILDRENS MEDICAL SECURIT
MA
05
—
30690441
—
MA
01
—
40263
UNITED HEALTHCARE
—
01
—
4266105
AETNA #
MA
05
—
9787429
—
MA
01
—
J10471
BCBSMA
MA
Enumeration date
06/15/2006
Last updated
03/05/2023
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