Individual
BRUCE A GOLDBERG
Active
Individual
BRUCE A GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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