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Individual

DR. ROBERT A GOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 E CITY AVE, BALA CYNWYD, PA 19004-1708
(610) 668-3505
(610) 668-3509
Mailing address
1132 HAINESPORT MOUNT LAUREL RD, MOUNT LAUREL, NJ 08054-9501
(856) 778-7301
(856) 552-0777

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD021884E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790773174
NPI
Enumeration date
10/11/2005
Last updated
10/03/2007
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