Individual
TAL KAUFMAN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(857) 320-8791
(617) 738-1657
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(857) 320-8791
(617) 738-1657
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
278586
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278586
MEDICAL LICENSE
MA
Enumeration date
04/01/2019
Last updated
04/01/2019
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