Individual
DR. MARK KING GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5638 OVERBROOK AVE, PHILADELPHIA, PA 19131-1316
(215) 877-5770
(610) 660-9755
Mailing address
5638 OVERBROOK AVE, PHILADELPHIA, PA 19131-1316
(215) 877-5770
(610) 660-9755
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002176L
PA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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