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Individual

BRUCE A GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 CONSTITUTION LANE, STE 200C LIBERTY TREE PARK, DANVERS, MA 01923
(978) 750-3670
(978) 750-3606
Mailing address
85 CONSTITUTION LN, SUITE 200C, DANVERS, MA 01923-3694
(978) 750-3670
(978) 750-3606

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
46504
MA
2084P0805X
Geriatric Psychiatry Physician
Primary
46504
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046504
TUFTS
MA
05
3015149
MA
01
V02758
BLUE CROSS
MA
Enumeration date
09/07/2006
Last updated
05/27/2008
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