Individual
DR. GRIGORY R GOLDBERG
Active
Individual
DR. GRIGORY R GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA08514200
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
35-089481
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
39810
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485763
ANTHEM
KY
01
—
000000526432
ANTHEM
OH
01
—
165869
NATIONWIDE
OH
Enumeration date
07/09/2006
Last updated
07/30/2020
Update your record
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