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Individual

MR. ERIC J GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3235 ACADEMY AVE, STE 305, PORTSMOUTH, VA 23703-3200
(757) 686-9300
(757) 686-1514
Mailing address
2876 GUARDIAN LANE, VIRGINIA BEACH, VA 23452-7327
(757) 463-5240
(757) 463-6572

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500484
UNITED HEALTHCARE
VA
01
063EG
BLUE CROSS BLUE SHIELD
NC
01
283422
MPIPA OPTIMA CHOICE
VA
01
31253
SENTARA
VA
01
317408
ANTHEM
VA
05
7114486
VA
05
89063EG
NC
Enumeration date
05/12/2006
Last updated
03/07/2008
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