Goldberg, Maya A

Goldberg, Maya A is an sole proprietor health care provider with primary practice located at 15 Parkman St , Boston MA 02114-3117. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Goldberg, Maya A can be contacted via phone (617) 724-8400.

Contact Information

Primary practice address
15 Parkman St Boston MA 02114-3117
Phone: (617) 724-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 254568 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 254568 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X RN254568 Massachusetts

Profile Details

NPI number 1154390326
LBN Legal business name Goldberg, Maya A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Oct 6th, 2023 - about 3 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 1154390326 NPPES
Massachusetts Other AA27837 HARVARD PILGRIM
Massachusetts MEDICAID 0798983 HARVARD PILGRIM
Massachusetts Other NP4930 HARVARD PILGRIM

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