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Individual

STEVEN E GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-7600
(803) 943-7601
Mailing address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-7600
(803) 943-7601

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD024468E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0969498
PA
01
GU039823
MEDICARE GROUP
PA
Enumeration date
10/26/2005
Last updated
03/14/2012
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