Individual
SAMUEL B GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-8061
(612) 365-8021
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-8061
(612) 365-8021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
68581
MN
2080P0214X
Pediatric Pulmonology Physician
Primary
68581
MN
2080P0214X
Pediatric Pulmonology Physician
MD070749L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001901235
—
PA
05
—
8839808
—
NJ
Enumeration date
07/24/2006
Last updated
05/09/2022
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