Individual provider · Type 1 NPI

Ivan Golub

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1063974996 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (617) 726-9111 Map

Mailing address

Maimonides Medical Center, 4802 10th Ave
Brooklyn, NY 11219

Other practice locations

  • Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 · (718) 283-6000
  • 75 Francis St, Boston, MA 02115-6110 · (617) 732-5500

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X1018314 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063974996

Ivan Golub's National Provider Identifier is 1063974996, issued on Apr 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 29, 2024.