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Individual

BENJAMIN WILLIS GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1046 COCHECTON TPKE, TYLER HILL, PA 18469-4010
(570) 224-0052
Mailing address
PO BOX 3, TYLER HILL, PA 18469-0003
(570) 224-0052

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
02/26/2018
Last updated
02/26/2018
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