Individual
DR. CHARLES GORDON GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8880 RIO SAN DIEGO DR, SAN DIEGO, CA 92108-1634
(858) 552-8585
(858) 642-6273
Mailing address
322 SAN COLLA ST, LA JOLLA, CA 92037-7942
(858) 552-8585
(858) 642-6273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76479
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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