Individual
DR. JAN PAUL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 ACOMA STREET, UNIT 1113, DENVER, CO 80204-4068
(303) 912-4900
Mailing address
816 ACOMA STREET, UNIT 1113, DENVER, CO 80204-4068
(303) 912-4900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21715
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217157
—
CO
01
—
21715
COLORADO LICENSE
CO
Enumeration date
05/11/2015
Last updated
12/28/2015
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