Organization
DR. JACOB GOLDBERG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB GOLDBERG D.O. (PRESIDENT)
(508) 620-1919
Entity
Organization
Contact information
Practice address
359 UNION AVE, FRAMINGHAM, MA 01702-6340
(508) 620-1919
Mailing address
359 UNION AVE, FRAMINGHAM, MA 01702-6340
(508) 620-1919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12188
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/14/2007
Last updated
08/22/2020
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