Individual
HAYLEY GOLDBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY STREET, AMBULATORY PATIENT CENTER APC 10, PROVIDENCE, RI 02903-4626
(401) 444-7959
(401) 444-7144
Mailing address
3401 CIVIC CENTER BLVD, THE CHILDREN'S HOSPITAL OF PHILADELPHIA 9NW ROOM 55, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD17221
RI
208000000X
Pediatrics Physician
MT208181
PA
Other
Enumeration date
06/05/2015
Last updated
08/19/2020
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