Individual
DR. ERIC B GOOSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1095 RYDAL RD, SUITE 100, RYDAL, PA 19046-1711
(267) 620-1100
(215) 572-1279
Mailing address
1095 RYDAL RD, SUITE 100, RYDAL, PA 19046-1711
(267) 620-1100
(215) 572-1279
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD033890E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000192796
PERSONAL CHOICE
PA
05
—
000192796
—
PA
01
—
0054626000
KEYSTONE EAST
PA
01
—
100015956
PALMETTO GBA
PA
01
—
1157791
KEYSTONE MERCY
PA
01
—
1158808003
CIGNA
PA
01
—
14617
HEALTH PARTNERS
PA
01
—
231937219
MULTIPLAN
PA
01
—
4201468
AETNA
PA
Enumeration date
06/01/2006
Last updated
01/11/2011
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