Organization
DALCOMA PHARMACOPOEIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L GOLDBERGER DO (MANAGER)
(248) 320-6101
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR STE 150, CLINTON TOWNSHIP, MI 48038-3594
(586) 421-7440
(248) 281-9955
Mailing address
43475 DALCOMA DR STE 150, CLINTON TOWNSHIP, MI 48038-3594
(586) 421-7440
(248) 281-9955
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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