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1780681981

NPI Code Detail

MEDICARE: JAMES A GOLDMAN MD

MEDICARE: JAMES A GOLDMAN MD

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	49314	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	460003583	OTHER		RAILROAD/MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6173136	OTHER		MASS HEALTH
2	0024457	OTHER		NEIGHBORHOOD HEALTH PLAN
3	0045892	OTHER		CIGNA HEALTH CARE
5	049314	OTHER		TUFTS
6	04-41454	OTHER		UNITED HEALTHCARE
7	5160	OTHER		FIRST SENIORITY
8	J02676	OTHER		BS-BLUE CARE ELECT
9	J02676	OTHER		BLUE SHIELD-INDEMNITY
10	049314	OTHER		TUFTS COMMONWEALTH PPO
11	37904	OTHER		CHILDREN'S MEDICAL SEC.
12	3938148	OTHER	MA	HEALTHSOURCE
13	5160	OTHER		HARVARD PILGRIM POS
14	5160	OTHER		HARVARD PILGRIM PPO
15	5160	OTHER		HARVARD/PILGRIM
16	J02676	OTHER		HMO BLUE/BLUE CHOICE
17	049314	OTHER		TUFTS BENEFIT ADMIN

General Provider Information

NPI Number	:	1780681981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A GOLDMAN MD

Provider Business Mailing Address
First Line	:	291 INDEPENDENCE DR
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-3628
Country	:	US
Telephone Number	:	617-541-6675
Fax Number	:	617-541-7505

Provider Business Practice Location Address
First Line	:	291 INDEPENDENCE DR
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-3628
Country	:	US
Telephone Number	:	617-541-6675
Fax Number	:	617-541-7505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	03/04/2021

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Directions to “ JAMES A GOLDMAN MD” Practice Location

Language	Start Address	Practice Location

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