Individual
SCOTT GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.,M.A.,F.A.A.O.
Contact information
Practice address
828 FAYETTE ST, CONSHOHOCKEN, PA 19428-1709
(610) 828-9701
(610) 828-4157
Mailing address
828 FAYETTE ST, CONSHOHOCKEN, PA 19428-1709
(610) 828-9701
(610) 828-4157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000367
PA
Other
Enumeration date
09/14/2005
Last updated
09/17/2008
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