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Individual

DR. GOSLYN RHEUBEN SYLVAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8900
(978) 557-8856
Mailing address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8900
(978) 557-8856

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
227335
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040560
NEIGHBORHOOD HEALTH PLAN
MA
01
04-34240
EVERCARE
MA
01
060030
TUFTS
MA
01
110075219A
MASS HEALTH
MA
01
1851341861
AETNA HMO
MA
05
2129213
MA
01
30206616
NH MEDICAID
NH
01
495605
TUFTS
MA
01
7057935
AETNA NON HMO
MA
01
959730-01
NETWORK HEALTH
MA
01
AA79528
HARVARD PILGRIM HEALTHCAR
MA
01
J41248
BLUE CROSS BLUE SHIELD
MA
01
P00983242
RAILROAD MEDICARE
MA
Enumeration date
05/11/2006
Last updated
11/20/2012
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