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Individual
DAVID A GOLDBERG
Active
Individual
DAVID A GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1367
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2312101
PREMIER
SC
01
—
20-2312101
FOCUS
—
01
—
607756100
DEPT OF LABOR
SC
01
—
7761758
AETNA
SC
01
—
9799717
CIGNA
SC
01
—
DD4407
MEDICARE RAILROAD GRP
SC
01
—
E2939
MEDCOST
SC
01
—
P00228285
MEDICARE RAILROAD
SC
05
—
TH0916
—
SC
Enumeration date
10/27/2006
Last updated
11/06/2015
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