Goldberg, Lynne J

Goldberg, Lynne J is an individual health care provider with primary practice located at 725 Albany St Shapiro 8, Boston MA 02118-2526. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Goldberg, Lynne J can be contacted via phone (617) 638-7420.

Contact Information

Primary practice address
725 Albany St Shapiro 8 Boston MA 02118-2526
Phone: (617) 638-7420
Fax: (617) 638-7289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 75274 Massachusetts
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 75274 Massachusetts

Profile Details

NPI number 1861483018
LBN Legal business name Goldberg, Lynne J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861483018 NPPES
Massachusetts MEDICAID 110053989A

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