Individual
LEE R GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, 2 EAST PERELMAN CENTER, PHILADELPHIA, PA 19104-4306
(215) 615-0820
Mailing address
3400 CIVIC CENTER BOULEVARD, 2 EAST PERELMAN CENTER, PHILADELPHIA, PA 19104-4306
(215) 615-0820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD053627L
PA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD053627L
PA
207RC0000X
Cardiovascular Disease Physician
MD053627L
PA
207RI0011X
Interventional Cardiology Physician
MD053627L
PA
Other
Enumeration date
07/04/2006
Last updated
09/13/2017
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