Dr. Allan Moises Goldstein
Surgeon Pediatric Surgery
55 Fruit Street Wrn 11
Boston
, Massachusetts 02114-2696
Dr. Allan Moises Goldstein
Surgeon Pediatric Surgery
55 Fruit Street Wrn 11
Boston
, Massachusetts 02114-2696
(617) 726-2894
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Allan Moises Goldstein
- Po Box 9142 Mass General Physician Organization
- Charlestown, MA
- Zip : 02129-9142
- Fax : (617) 726-2894
- Phone : (617) 724-0287
Second Address
- Dr. Allan Moises Goldstein
- 55 Fruit Street Wrn 11
- Boston, MA
- Zip : 02114-2696
- Fax : (617) 726-2167
- Phone : (617) 726-0270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 150801 | MA |
| Y | 208600000X | Surgeon | 150801 | MA |
| N | 2086S0120X | Pediatric Surgery | 150801 | MA |
National Provider Identifier
| NPI | 1124019740 |
|---|---|
| Provider Name | Dr. Allan Moises Goldstein |
| First Address | Charlestown, MA 02129-9142 |
| Second Address | Boston, MA 02114-2696 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 20/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0172731 | (05) | MA |
| 730779 | TUFTS HEALTH PLAN (01) | MA |
| H62657 | (02) | |
| J24954 | BCBS MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.