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Individual

DR. BRIAN E GOLDWASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 LOGANS FERRY RD STE 2, LOWER BURRELL, PA 15068-2048
(249) 944-7407
(724) 994-4745
Mailing address
125 LOGANS FERRY RD, NEW KENSINGTON, PA 15068-2048

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD436652
PA
208M00000X
Hospitalist Physician
MD436652
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102290092
PA
01
1581403
GATEWAY
PA
01
2103533
HIGHMARK
PA
01
413063
UPMC
PA
01
9768357
AETNA
PA
01
P00732031
RR MEDICARE
PA
Enumeration date
04/20/2009
Last updated
03/29/2021
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