Organization
HOWARD M. GOLDMAN, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD M GOLDMAN D.O. (OWNER)
(215) 677-1155
Entity
Organization
Contact information
Practice address
10159 VERREE RD, PHILADELPHIA, PA 19116-3613
(215) 677-1155
(215) 677-5424
Mailing address
10159 VERREE RD, PHILADELPHIA, PA 19116-3613
(215) 677-1155
(215) 677-5424
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS005913L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019122750003
—
PA
01
—
0177910000
INDEPENDENCE BLUE CROSS
PA
01
—
3008629
AETNA
PA
01
—
374927
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/20/2006
Last updated
08/22/2020
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