Individual
DR. MARK J. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, IU HOSPITAL - LILLY CLINIC, INDIANAPOLIS, IN 46202-5149
(317) 277-3827
(317) 276-5495
Mailing address
1601 GUILDHALL CT, INDIANAPOLIS, IN 46260-1562
(317) 876-1652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01035439A
IN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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