Individual provider · Type 1 NPI
Boris Goldman, MD
Specialist · Westport, CT
NPI number
1104821560
Active
Practice location
32 Imperial Ave Fl 2
Westport, CT 06880-4328
Fax (203) 222-3703
Mailing address
32 Imperial Ave, 2nd Floor
Westport, CT 06880-4328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 034822 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104821560
Boris Goldman, MD's National Provider Identifier is 1104821560, issued on Jun 14, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Westport, CT. The record was last updated on Jun 25, 2026.