Individual
DR. NELSON H. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21264-4742
(410) 328-6897
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4742
(410) 328-6897
(410) 328-2109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D15694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213357
KAISER
MD
05
—
305241900
—
MD
01
—
32137002
BLUE SHIELD
MD
05
—
3810003263
—
WV
01
—
80019
GEISINGER
MD
01
—
F821
CAREFIRST REGIONAL GROUP
MD
Enumeration date
07/26/2006
Last updated
02/08/2012
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