Individual
DAVID A GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1900 LAFAYETTE RD, STE C, PORTSMOUTH, NH 03801-5679
(603) 431-5600
(603) 431-5610
Mailing address
1900 LAFAYETTE RD, STE C, PORTSMOUTH, NH 03801-5679
(603) 431-5600
(603) 431-5610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2934
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y007254NH03
ANTHEM INDIV #
NH
01
—
098826
ANTHEM MAINE
ME
05
—
30394988
—
NH
01
—
AA79032
HARVARD PILGRIM GROUP #
—
01
—
RE8968
MEDICARE GROUP #
NH
Enumeration date
11/13/2006
Last updated
03/08/2016
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