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Contact Information

BRUCE A GOLDBERG, MD
85 CONSTITUTION LANE
STE 200C LIBERTY TREE PARK
DANVERS, MA01923
 Phone: 978-750-3670
 Fax: 978-750-3606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BRUCE A GOLDBERG · (Male)

NPI # 1568565190
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 46504
  • MA Medicaid 3015149
  • MA Other V02758 BLUE CROSS
  • MA Other 046504 TUFTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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