Individual
SAMUEL GOLDBERG
Active
Individual
SAMUEL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
D0024347
MD
2084N0600X
Clinical Neurophysiology Physician
M17939
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034197-000
MAGELLAN
MD
01
—
115468
KAISER
MD
01
—
2143757000
AMERIHEALTH
MD
01
—
347492
MAMSI
MD
05
—
400491400
—
MD
01
—
4281365
AETNA
MD
01
—
PVPB129834
APS HEALTHCARE
MD
01
—
T541-0032
CAREFIRST
MD
Enumeration date
09/02/2006
Last updated
10/16/2008
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