Boris Goldman in Newtown - Specialist

Boris Goldman - NPI 1104821560

Boris Goldman is a Specialist in Newtown, Connecticut. Boris Goldman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Boris Goldman is 1104821560. The last update date is 2007-07-08.

Boris Goldman's current location address is 2 Winding Brook Rd, Newtown, Connecticut. You can contact this provider via phone number 2034267018. The mailing address for Boris Goldman is 2 Winding Brook Rd, Newtown, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Boris Goldman
Address 2 Winding Brook Rd, Newtown, Connecticut
Phone Number 2034267018
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1104821560
Provider Enumeration Date 2005-06-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2 Winding Brook Rd
City Newtown
State Connecticut (CT)
Post Code 647025340
Phone Number 2034267018
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 34822
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1348227 CT --

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FAQs about Boris Goldman

What is the unique provider identifier assigned to Boris Goldman?

The Boris Goldman has been issued the NPI (National Provider Identifier) 1104821560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Boris Goldman is physically located?

The Boris Goldman is physically situated at the following address: 2 Winding Brook Rd, Newtown, CT, 647025340.

What is the Boris Goldman's area of specialization and corresponding taxonomy classification?

The Boris Goldman's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did the Boris Goldman receive its 1104821560?

The Boris Goldman was issued its 1104821560 on 2005-06-14, which is the date when the organization was assigned this unique identifier.

When was the Boris Goldman's information last updated?

The Boris Goldman's information was last updated on 2007-07-08.

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