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Individual

DR. VIVIANA INES GOLDENBERG

Active
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Individual

DR. VIVIANA INES GOLDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
065552
GA
207Q00000X
Family Medicine Physician
39544
KY
207Q00000X
Family Medicine Physician
65552
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106664A
—
GA
05
—
2691912
—
OH
05
—
64124183
—
KY
Enumeration date
06/01/2006
Last updated
01/10/2022
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