Individual
MR. JEFFREY SCOTT GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10240
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468123
TUFTS
—
01
—
57043
FALLON
—
01
—
Y67543
BCBS
—
Enumeration date
12/04/2006
Last updated
10/02/2017
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