Individual
DR. DEBORAH ANN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 444-5378
(216) 444-2974
Mailing address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 444-5378
(216) 444-2974
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34001
MN
2080P0206X
Pediatric Gastroenterology Physician
242583
NY
2080P0206X
Pediatric Gastroenterology Physician
34001
MN
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
128049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052207
—
MT
01
—
01T97GR
BCBS
MN
05
—
03613141
—
NY
01
—
1000791
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
105091
UCARE
MN
01
—
29-13389
MEDICA CHOICE
MN
01
—
29-72575
MEDICA PRIMARY
MN
05
—
31989400
—
WI
05
—
546518400
—
MN
01
—
644605
ARAZ
MN
05
—
7777470
—
SD
01
—
HP21981
HEALTHPARTNERS
MN
Enumeration date
07/07/2006
Last updated
11/02/2021
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