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Individual

DR. ANDREW G GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 JOSEPH SIEWICK DR, SUITE 301, FAIRFAX, VA 22033-1744
(703) 264-0904
(703) 264-0906
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 301, FAIRFAX, VA 22033-1744
(703) 264-0904
(703) 264-0906

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101046779
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12420001
CAREFIRST BLUE CHOICE
DC
01
214669
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
07/26/2006
Last updated
07/08/2007
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