# DAVID A GOLDBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659457356
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1367 | SC | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 11/06/2015

## 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 |
