Individual provider · Type 1 NPI
Grady Goldberg, PA-C
Surgical Physician Assistant · South Weymouth, MA
NPI number
1760099378
Active
Practice location
55 Fogg Rd
South Weymouth, MA 02190-2455
Mailing address
66 Leland Rd
Marshfield, MA 02050-5124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1760099378
Grady Goldberg, PA-C's National Provider Identifier is 1760099378, issued on Sep 28, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Weymouth, MA. The record was last updated on Mar 7, 2022.