Individual
STEFAN VINCENT GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3239 BOLERO DR, ATLANTA, GA 30341-5705
(404) 663-1220
Mailing address
3239 BOLERO DR, ATLANTA, GA 30341-5705
(404) 663-1220
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00024857
WA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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