Individual
MARC STEWART GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD434245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00738567
RAILROAD MEDICARE
PA
Enumeration date
02/12/2009
Last updated
04/20/2018
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