Individual
DR. KENNETH CHARLES GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 FULTON ST, BOX 11C, DURHAM, NC 27705-3875
(919) 286-0411
(919) 416-5880
Mailing address
2736 MONTGOMERY ST, DURHAM, NC 27705-5718
(919) 490-5320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95-01539
NC
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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