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Individual

DR. ERIC M GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8730
(410) 328-8315
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8730
(410) 328-8315

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D59818
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037545400
DC
05
1083664312
DE
05
401377800
MD
01
619082-01
BLUE CROSS/BLUESHIELD
MD
Enumeration date
05/10/2006
Last updated
11/15/2010
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