Individual
AMY J GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-2915
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044083E
PA
2086S0102X
Surgical Critical Care Physician
MD044083E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014092540001
—
PA
Enumeration date
10/13/2005
Last updated
12/16/2024
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