Individual
DR. JEFFREY A GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 THOMPSON SQ, SUITE 203, CHARLESTOWN, MA 02129-3328
(617) 242-0663
(617) 242-8539
Mailing address
1 THOMPSON SQ, SUITE 203, CHARLESTOWN, MA 02129-3328
(617) 242-0663
(617) 242-8539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14476
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256714
—
MA
Enumeration date
10/05/2005
Last updated
07/09/2007
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