Individual
DR. MICHAEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2100 KEYSTONE AVE STE 206, DREXEL HILL, PA 19026
(610) 619-7475
Mailing address
2100 KEYSTONE AVE STE 206, DREXEL HILL, PA 19026-1124
(610) 619-7475
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS018424
PA
207RG0100X
Gastroenterology Physician
Q1614
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2007
Last updated
07/21/2022
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