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Individual

AMANDA BETH GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8581
Mailing address
300 LONGWOOD AVE, LO367, BOSTON, MA 02115-5724

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2022-0091
NM
363A00000X
Physician Assistant
Primary
PA4755
MA

Other

Enumeration date
08/01/2013
Last updated
09/11/2023
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