| Matthew J Goldberg, DO | |
|
65 Calef Hwy, Suite 200, Lee, NH 03861-6703 | |
| (603) 868-3300 | |
| (603) 868-3303 |
| Full Name | Matthew J Goldberg |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 65 Calef Hwy, Lee, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407895998 | NPI | - | NPPES |
| 3075633 | Medicaid | NH | |
| 1407895998 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11272 (New Hampshire) | Primary |
| 207Q00000X | Family Medicine | DO2216 (Maine) | Secondary |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Goldberg, DO 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 868-3300 | Matthew J Goldberg, DO 65 Calef Hwy, Suite 200, Lee, NH 03861-6703 Ph: (603) 868-3300 |
Dr. Benedict Gerald Heiderscheidt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21 Caverno Dr, Lee, NH 03861 Phone: 603-988-8128 Fax: 610-340-9130 | |
Dr. Michael R Jordan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Calef Hwy Ste 200, Lee, NH 03861 Phone: 603-868-3300 | |
Dr. Maureen Erin Cashman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Calef Hwy Ste 200, Lee, NH 03861 Phone: 603-868-3300 |