Individual
STANLEY B GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, RM 3D5, SAN FRANCISCO, CA 94110-3518
(415) 206-8822
(415) 206-5199
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G7540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G75400
—
CA
Enumeration date
09/07/2006
Last updated
07/08/2007
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