Goldstein, Allan Moises
Goldstein, Allan Moises is an sole proprietor health care provider with primary practice located at 55 Fruit Street Wrn 11, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goldstein, Allan Moises can be contacted via phone (617) 726-0270.Contact Information
Primary practice address
55 Fruit Street Wrn 11
Boston MA 02114-2696
Phone: (617) 726-0270
Fax: (617) 726-2167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 150801 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 150801 | Massachusetts |
Profile Details
| NPI number | 1124019740 |
|---|---|
| LBN Legal business name | Goldstein, Allan Moises |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 20th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124019740 | NPPES |
| Massachusetts | Other | J24954 | BCBS MA |
| Massachusetts | MEDICAID | 0172731 | BCBS MA |
| Massachusetts | Other | 730779 | BCBS MA |
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