Provider Demographics
NPI:1992701502
Name:GOLDENBERG, DON L (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:L
Last Name:GOLDENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 848740
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-8740
Mailing Address - Country:US
Mailing Address - Phone:617-243-5440
Mailing Address - Fax:617-243-6453
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:STE 304
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1602
Practice Address - Country:US
Practice Address - Phone:617-243-5440
Practice Address - Fax:617-243-6453
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2010-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA34653207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC16097OtherBCBS OF MASSACHUSETTS
MA9757562Medicaid
MA0024412OtherAETNA US HEALTHCARE
MA034653OtherTUFTS PROVIDER NUMBER
MA25022OtherHARVARD PILGRIM
MA0004083388OtherAETNA PROVIDER NUMBER
MA32-00005OtherUNITED HEALTHCARE
MAB20387801OtherCIGNA PROVIDER NUMBER
MA9757562Medicaid
MA0024412OtherAETNA US HEALTHCARE
MA25022OtherHARVARD PILGRIM