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Individual

EDWARD S GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 EAST 60TH STREET, NEW YORK, NY 10022
(212) 980-8800
(212) 980-8807
Mailing address
121 EAST 60TH STREET, NEW YORK, NY 10022
(212) 980-8800
(212) 980-8807

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
185376
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1056239001
UNITED HEALTHCARE
NY
01
185376
HIP
NY
01
2485896
AETNA SPECIALITS
NY
01
37H521
BLUE CROSS BLUE SHIELD
NY
01
4345864
AETNA
NY
01
NS3229
OXFORD
NY
01
NZ0227
HEALTHNET
NY
Enumeration date
06/30/2006
Last updated
11/06/2007
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