Mr Larry Philip Goldberg, MD | |
104 Endicott St, Suite 200, Danvers, MA 01923-3623 | |
(978) 882-6868 | |
(978) 882-6855 |
Full Name | Mr Larry Philip Goldberg |
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Gender | Male |
Speciality | Surgery |
Location | 104 Endicott St, Danvers, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205820941 | NPI | - | NPPES |
3023125 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 49380 (Massachusetts) | Primary |
2086S0129X | Surgery - Vascular Surgery | 49380 (Massachusetts) | Secondary |
Entity Name | Commonwealth Radiology Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295711661 PECOS PAC ID: 2668468406 Enrollment ID: O20081210000048 |
Mailing Address | Practice Location Address |
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Mr Larry Philip Goldberg, MD 104 Endicott St, Suite 200, Danvers, MA 01923-3623 Ph: (978) 882-6868 | Mr Larry Philip Goldberg, MD 104 Endicott St, Suite 200, Danvers, MA 01923-3623 Ph: (978) 882-6868 |
Dr. Frederick Oliver Buckley Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 200, Danvers, MA 01923 Phone: 978-882-6868 Fax: 978-882-6828 | |
Vinod Narra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St Ste 200, Danvers, MA 01923 Phone: 978-882-6375 Fax: 978-882-6517 | |
Dr. William Vasilos Kastrinakis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 200, Danvers, MA 01923 Phone: 978-882-6868 Fax: 978-882-6828 | |
Dr. Russell Lloyd Ranson Ryan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 104 Endicott St, Suite 200, Danvers, MA 01923 Phone: 978-882-6868 Fax: 978-882-6855 | |
David J Martini, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 104 Endicott St, Suite 200, Danvers, MA 01923 Phone: 978-882-6899 Fax: 978-882-6890 | |
Dr. Jaime Alfredo Rivera, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Endicott St, Suite 200, Danvers, MA 01923 Phone: 978-882-6868 Fax: 978-882-6855 |