Individual
MICHAEL JAY GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, M/S W 7706, SEATTLE, WA 98105-3901
(206) 987-3755
Mailing address
1221 1ST AVE, APT 2109, SEATTLE, WA 98101-3405
(206) 624-8007
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD00044021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8410359
—
WA
Enumeration date
08/22/2006
Last updated
07/08/2007
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