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Individual

FREDERICK D GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 934-3795
Mailing address
703 VOLKER HL, BIRMINGHAM, AL 35294-0001
(205) 934-3795

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29486
AL
2080P0207X
Pediatric Hematology & Oncology Physician
28926
IA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
29486
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090753
IA
01
10024
WELLMARK BCBS
IA
05
109764
AL
Enumeration date
09/19/2005
Last updated
01/26/2011
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