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Individual
DR. TERESA ANN GOLDBERG
Active
Individual
DR. TERESA ANN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06449T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BW042A
MEDICARE PTAN
CA
Enumeration date
09/14/2006
Last updated
03/07/2023
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