| Dr. Jacob Goldberg, Inc. | |
|
359 Union Ave Framingham MA 01702-6340 | |
| (508) 620-1919 | |
| Not Available |
| Full Name | Dr. Jacob Goldberg, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 359 Union Ave, Framingham, Massachusetts |
| Authorized Official Name and Position | Jacob Goldberg (PRESIDENT) |
| Authorized Official Contact | 5086201919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jacob Goldberg, Inc. 359 Union Ave Framingham MA 01702-6340 Ph: (508) 620-1919 | Dr. Jacob Goldberg, Inc. 359 Union Ave Framingham MA 01702-6340 Ph: (508) 620-1919 |
| NPI Number | 1831240266 |
|---|---|
| Provider Enumeration Date | 01/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365602471 |
|---|---|
| Medicare Enrollment ID | O20120328000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831240266 | NPI | - | NPPES |
| M12188 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jacob Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235157249 PECOS PAC ID: 5294756078 Enrollment ID: I20051208000072 |
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