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Individual

COREY TODD GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7762
(570) 808-6128
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
070389
GA
207P00000X
Emergency Medicine Physician
FG5872913
PA
207P00000X
Emergency Medicine Physician
Primary
MD489147
PA

Other

Enumeration date
03/23/2011
Last updated
07/10/2025
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