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NPI Code Detail

MEDICARE: DR. DAVID GOLDMINZ M.D.

MEDICARE: DR. DAVID GOLDMINZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery Physician8661NH
2207ND0101XMOHS-Micrographic Surgery Physician75004MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1070004481OTHERMARAILROAD MEDICARE
4P00352754OTHERNHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20106548Y0NH01OTHERNHANTHEM NEW HAMPSHIRE
3112292OTHERMAAETNA
54308OTHERMAHARVARD
6017606OTHERMEANTHEM MAINE
7075004OTHERMATUFTS
8J12017OTHERMABCBS MASSACHUSETTS

General Provider Information

NPI Number : 1679678601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GOLDMINZ M.D.
Provider Business Mailing Address
First Line : 280 MERRIMACK ST STE 311
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1779
Country : US
Telephone Number : 978-691-5690
Fax Number : 978-691-5693
Provider Business Practice Location Address
First Line : 538 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5812
Country : US
Telephone Number : 978-683-9201
Fax Number : 978-686-2770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 10/18/2017

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Directions to “ DR. DAVID GOLDMINZ M.D.” Practice Location

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