Provider Demographics
NPI:1487644753
Name:GOLDFINGER, STEPHEN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:EDWARD
Last Name:GOLDFINGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-6004
Mailing Address - Fax:617-724-6832
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:BLK 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-724-6004
Practice Address - Fax:617-724-6832
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2012-07-31
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Provider Licenses
StateLicense IDTaxonomies
MA76872207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA028821OtherTUFTS HEALTH PLAN
MA2091704Medicaid
MAM07182OtherBCBS MA
MAM07182OtherBCBS MA
A65850Medicare UPIN