Individual
JUDD M. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 566-3421
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101249275
VA
2085R0202X
Diagnostic Radiology Physician
245921
NY
2085R0202X
Diagnostic Radiology Physician
Primary
D73614
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354106100
—
MD
01
—
H534RA
CAREFIRST BCBS OF MD
MD
01
—
P01129258
RAILROAD MEDICARE
MD
Enumeration date
03/16/2010
Last updated
03/30/2022
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