Individual
DR. MARK GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36001 EUCLID AVE, SUITE B-6, WILLOUGHBY, OH 44094-4643
(440) 953-2500
(440) 953-2772
Mailing address
PO BOX 74913, CLEVELAND, OH 44194-0996
(216) 383-6480
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-085145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2538034
—
OH
Enumeration date
05/26/2006
Last updated
07/08/2007
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