Individual
ALYSSA RAE GOLDBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7237
(215) 707-9389
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
OP61628374
WA
2085R0202X
Diagnostic Radiology Physician
Primary
OS0202297
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/12/2015
Last updated
11/20/2024
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