Provider Demographics
NPI:1780681981
Name:GOLDMAN, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:291 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3628
Mailing Address - Country:US
Mailing Address - Phone:617-541-6675
Mailing Address - Fax:617-541-7505
Practice Address - Street 1:291 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3628
Practice Address - Country:US
Practice Address - Phone:617-541-6675
Practice Address - Fax:617-541-7505
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2021-03-04
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Provider Licenses
StateLicense IDTaxonomies
MA49314207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
6173136OtherMASS HEALTH
0024457OtherNEIGHBORHOOD HEALTH PLAN
0045892OtherCIGNA HEALTH CARE
460003583OtherRAILROAD/MEDICARE
049314OtherTUFTS
04-41454OtherUNITED HEALTHCARE
5160OtherFIRST SENIORITY
J02676OtherBS-BLUE CARE ELECT
J02676OtherBLUE SHIELD-INDEMNITY
049314OtherTUFTS COMMONWEALTH PPO
37904OtherCHILDREN'S MEDICAL SEC.
MA3938148OtherHEALTHSOURCE
5160OtherHARVARD PILGRIM POS
5160OtherHARVARD PILGRIM PPO
5160OtherHARVARD/PILGRIM
J02676OtherHMO BLUE/BLUE CHOICE
049314OtherTUFTS BENEFIT ADMIN
MA3938148OtherHEALTHSOURCE
5160OtherHARVARD PILGRIM PPO