Doctor Name: | DR. CONRAD JOSEPH GOLASKI |
NPI Number: | 1588693352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 41829 |
Business Practice Address: | 55 N Franklin St Suite 201 Holbrook, MA - 023431501 |
Business Phone Number: | 7817676060 |
Business Fax Number: | 7817676061 |
Mailing Address: | 22 Winter St, Suite 204 HOLBROOK |
State: | MA |
Postal Code: | 023431033 |
Phone Number: | 7817673486 |
Fax Number: | 7819619648 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 41829 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |