Individual
DR. LARRY I GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
41 BERLIN AVE, MILTON, MA 02186-5103
(978) 470-3495
(978) 475-5110
Mailing address
PO BOX 668, ANDOVER, MA 01810-0012
(978) 470-3495
(978) 475-5110
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1450
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327549
—
MA
Enumeration date
12/07/2005
Last updated
04/30/2011
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