Individual
DR. MARC SOLOMON GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 856-0104
(508) 853-4961
Mailing address
18 MCGILPIN RD, STURBRIDGE, MA 01566-1230
(508) 347-2456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39815
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17676000515
CIGNA
MA
05
—
6191797
—
MA
01
—
E58003
BLUE SHIELD
MA
Enumeration date
06/29/2006
Last updated
07/09/2007
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