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Individual
DR. PAUL MICHAEL GOLDBERG
Active
Individual
DR. PAUL MICHAEL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0102036831
VA
207K00000X
Allergy & Immunology Physician
Primary
H0032415
MD
207KA0200X
Allergy Physician
0102036831
VA
207KA0200X
Allergy Physician
H0032415
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52-1744186
FEDERAL TAX ID
—
Enumeration date
04/27/2006
Last updated
04/23/2014
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