NPI 1992717458

Glenn David Goldman, MD

Practitioner MOHS-Micrographic Surgery Physician Colchester, VT

Practice location

Address: 354 Mountain View Dr STE 300, Colchester, VT 05446-5988
Phone: (802) 864-0192
Fax: (802) 860-4919
Mailing address: 358 Chamberlin Ln, Williston, VT 05495-4406

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0420009351 (VT)

Other Dermatology providers in Vermont →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0420009351 (VT)

Registry record

NPI: 1992717458
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2006
Record last updated: 5 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.