Organization
STEPHEN B GOLDFARB DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY M NADAI (BILLING AGENT)
(248) 547-3914
Entity
Organization
Contact information
Practice address
6255 INKSTER RD, STE 105, GARDEN CITY, MI 48135-2577
(734) 522-0404
(734) 522-0835
Mailing address
6255 INKSTER RD, STE 105, GARDEN CITY, MI 48135-2577
(734) 522-0404
(734) 522-0835
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
SB006197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158213634
BCBSM
MI
05
—
1705073
—
MI
Enumeration date
04/08/2008
Last updated
10/09/2008
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