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Individual

NATHANIEL GOLDBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
533 BOLIVAR ST RM 459, NEW ORLEANS, LA 70112-1349
(504) 568-3156
Mailing address
420 E 70TH ST APT 10L, NEW YORK, NY 10021-5320

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2587943
LA
Enumeration date
04/16/2022
Last updated
07/08/2022
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