| NPI | 1922283076 |
|---|---|
| Former Legal Business Name | RICHARD S. GOLDMAN |
| Entity Type | Organization |
| Authorized Contact | RICHARD S GOLDMAN Owner 781-416-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA 56153) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-07-30 |