Individual
JUSTIN M GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15000 N 83RD AVE UNIT 300, PEORIA, AZ 85381-2004
(623) 238-7490
(480) 882-5019
Mailing address
15000 N 83RD AVE UNIT 300, PEORIA, AZ 85381-2004
(623) 238-7490
(480) 882-5019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-117585
IL
207RH0003X
Hematology & Oncology Physician
005668
AZ
207RX0202X
Medical Oncology Physician
Primary
BP10033466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-117585
IL STATE LIC
IL
Enumeration date
04/17/2007
Last updated
02/24/2026
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