Individual
GRADY GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
66 LELAND RD, MARSHFIELD, MA 02050-5124
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
03/07/2022
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