Individual
DR. SAMUEL D. GOLDBERG
Active
Individual
DR. SAMUEL D. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0016360
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122018
AETNA
MD
01
—
12470001
BCBS
MD
01
—
22162
MDIPA
MD
05
—
308961400
—
MD
01
—
493856
NCPPO
MD
Enumeration date
06/14/2005
Last updated
05/09/2013
Update your record
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