Individual
JOEL SAMUEL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4015 CHICHESTER AVE, UPPER CHICHESTER, PA 19061-3138
(610) 494-4422
Mailing address
4015 CHICHESTER AVE, UPPER CHICHESTER, PA 19061-3138
(610) 494-4422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004415L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016128870002
—
PA
Enumeration date
06/06/2006
Last updated
02/04/2026
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