Individual
DR. MARCIA B GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRJ 5, BOSTON, MA 02114-2621
(617) 726-3812
(617) 726-7416
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56677
MA
207RI0200X
Infectious Disease Physician
Primary
56677
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056677
TUFTS HEALTH PLAN
MA
05
—
3199754
—
MA
01
—
J21620
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
11/25/2019
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