Organization
GOLDSTAR MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HARRIET J. KASOZI NP (CO-WORKER)
(781) 661-8969
Entity
Organization
Contact information
Practice address
164 WEBSTER ST, MALDEN, MA 02148-4423
(339) 224-0961
Mailing address
164 WEBSTER ST, MALDEN, MA 02148-4423
(781) 661-8969
(781) 723-2557
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
07/06/2022
Last updated
09/21/2023
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