Individual
ISAAC IAN GOETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
28 METCALF ST, MEDFORD, MA 02155-4426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101879
MA
Other
Enumeration date
09/21/2023
Last updated
08/15/2025
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