Active NPIIndividual provider

Dr. Glenn D Goldman, MD

Dermatology, MOHS-Micrographic Surgery in Colchester, Vermont

NPI Number1992717458
Practice location
354 Mountain View Dr Ste 300, Colchester, VT 05446-5988
Fax
802-860-4919
Last updated
October 22, 2026

Glenn David Goldman is a Dermatology, MOHS-Micrographic Surgery based in Colchester, VT. Glenn David Goldman practices in Colchester, VT and has the professional credentials of MD. The NPI Number for Glenn David Goldman is 1992717458 and holds a License No. 0420009351 (VT). The current practice location address for Glenn David Goldman is 354 Mountain View Dr Ste 300, Colchester, VT 05446-5988 and can be reached out via phone at 802-864-0192 and via fax at 802-860-4919.

Provider Profile Details

NPI Number
1992717458
Provider Name
Glenn David Goldman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
354 Mountain View Dr Ste 300, Colchester, VT 05446-5988
Phone Number
802-864-0192
Fax Number
802-860-4919
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2006
Last Update Date
October 22, 2026
Certification Date
October 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
354 Mountain View Dr Ste 300
Colchester, VT 05446-5988
State
Vermont
Zip
05446-5988
Phone Number
802-864-0192
Fax Number
802-860-4919
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
358 Chamberlin Ln
Williston, VT 05495-4406
City
Williston
State
VT
Zip
05495-4406

License Information

License Number (1)
0420009351
License State (1)
VT
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
0420009351
License State (2)
VT
Taxonomy (2)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Glenn D Goldman, MD?

The NPI number of Dr. Glenn D Goldman, MD is 1992717458. It was assigned on August 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Glenn D Goldman, MD?

Dr. Glenn D Goldman, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in VT under license number 0420009351.

Where does Dr. Glenn D Goldman, MD practice?

The practice location is 354 Mountain View Dr Ste 300, Colchester, VT 05446-5988. The office can be reached at 802-864-0192 (phone) or 802-860-4919 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992717458 directly on the NPPES registry website.

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