Individual
CORA M GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1096 OLD CHURCHMANS RD, NEWARK, DE 19713-2102
(302) 655-9494
Mailing address
101 W HARMONY RD, WEST GROVE, PA 19390-1013
(610) 906-5155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000434
DE
2255A2300X
Athletic Trainer
RT005354
PA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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