Individual
DR. JAY D. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 CHESTNUT ST, SUITE 300, PHILADELPHIA, PA 19107-5127
(215) 955-5000
(215) 923-1089
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-1825
(215) 254-3289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD056373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001544419
—
PA
05
—
7305800
—
NJ
Enumeration date
07/19/2006
Last updated
11/23/2018
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