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Individual

DR. LYNNE J GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
725 ALBANY ST, SHAPIRO 8, BOSTON, MA 02118-2526
(617) 638-7420
(617) 638-7289
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
75274
MA
207ND0900X
Dermatopathology Physician
75274
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110053989A
MA
Enumeration date
11/04/2005
Last updated
07/24/2014
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