Provider Demographics
NPI:1235333980
Name:GOLDBERG-STEIN, SHLOMIT AVIGAYIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SHLOMIT
Middle Name:AVIGAYIL
Last Name:GOLDBERG-STEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHLOMIT
Other - Middle Name:
Other - Last Name:GOLDBERG STEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:617 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4563
Mailing Address - Country:US
Mailing Address - Phone:617-879-9822
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:DEPT OF RADIOLOGY MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-4255
Practice Address - Fax:617-726-3077
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2435142085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology