Individual
DR. DAVID JASON GOLDBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 N 15TH ST, MAILSTOP 1011, PHILADELPHIA, PA 19102-1101
(215) 762-1307
Mailing address
245 N 15TH ST, MAILSTOP 1011, PHILADELPHIA, PA 19102-1101
(215) 762-1307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
390200000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD455849
PA LICENSE
PA
Enumeration date
05/02/2012
Last updated
04/02/2019
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