DR. BORIS GOLOSARSKY (NPI# 1164408498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164408498 |
Entity Type | Individual |
Full Name | DR. BORIS GOLOSARSKY |
Credential | M.D. |
Practice Address |
491 Amherst St Ste 105 Nashua NH 03063-1259 |
Mailing Address |
Po Box 3677 Nashua NH 03061-3677 |
Practice Telephone | 5615158947 |
Practice Fax Number | 5613355182 |
Mailing Telephone | 6035777900 |
Mailing Fax Number | 6035777972 |
Enumeration Date | 2005-12-19 |
Last Update Date | 2020-08-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 10045 | NH | Allopathic & Osteopathic Physicians |
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
10045 | NH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3074148 | 05 | |
NH | 30010846 | 05 |
Street Address |
491 AMHERST ST STE 105 |
City | NASHUA |
State | NH |
Zip Code | 03063-1259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528696945 | Charles Qualters Sexton-diranian | Counselor | 491 Amherst St Ste 105, Nashua, NH 03063-1259 | 2020-03-31 |
1619526423 | Chad Saint-amant | Nurse Practitioner | 491 Amherst St Ste 105, Nashua, NH 03063-1259 | 2019-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770073298 | Eye Practice of Nashua Pllc | Optometrist | 451 Amherst St Ste 102, Nashua, NH 03063 | 2018-05-10 |
1801254552 | Lindsay Arel | Occupational Therapist | 547 Amherst St Ste 204, Nashua, NH 03063 | 2016-02-09 |
1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
1801196332 | Greater Nashua Council On Alcoholism, Inc. | Counselor | 615 Amherst Street, Nashua, NH 03063 | 2010-11-01 |
1275846123 | Nancy M Chow | Pharmacist | 145 Amhurst St, Nashua, NH 03063 | 2010-07-21 |
1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
1104954403 | Kelly A Fitzgibbons | Dentist | 2 Cellu Drive, Nashua, NH 03063 | 2007-03-01 |
1609922731 | Kara Myers | Occupational Therapist | 547 Amherst St., Suite 204, Nashua, NH 03063 | 2007-01-25 |
1720147176 | Todd Ratcliffe | Physical Therapist | 522 Amherst St Ste 22, Nashua, NH 03063 | 2006-12-08 |
1043385073 | Deepak V Shinde | Dentist | 2 Cellu Drive Suite #107, Allcare Dental, Nashua, NH 03063 | 2006-11-22 |
Find all providers in zip 03063 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639182660 | Ken A Schroeter | Internal Medicine | 3 Carriage Ln, Bedford, NH 03110-4619 | 2006-08-14 |
1740579176 | David De Gijsel | Internal Medicine | 1 Medical Center Dr, Dhmc Section of Infectious Disease, Lebanon, NH 03756-1000 | 2011-04-06 |
1962653543 | Diana Kaye Berger | Internal Medicine | 251 Elm St, Claremont, NH 03743-4940 | 2008-10-01 |
1427113653 | Anton Albert Heins IIi | Internal Medicine | 21 Eastman Ave, Bedford, NH 03110-6701 | 2006-12-27 |
1780641217 | Gargi Kundu | Internal Medicine | 700 Lake Ave, Manchester, NH 03103-2734 | 2006-04-27 |
1982664587 | Lawrence M Epstein | Internal Medicine | 255 Route 108, Somersworth, NH 03878-1543 | 2006-03-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.