Individual
DR. STEPHEN H GOLDBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 BUFFALO ST, FARMVILLE, VA 23901
(434) 315-5551
(434) 315-5524
Mailing address
PO BOX 920, FARMVILLE, VA 23901
(434) 315-5551
(434) 315-5524
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101057289
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010120519
—
VA
Enumeration date
02/03/2006
Last updated
08/18/2008
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