Organization
PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J GOLDBERG M.D. (PHYSICIAN)
(610) 874-8122
Entity
Organization
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 103, UPLAND, PA 19013-3955
(610) 874-7111
(610) 874-5687
Mailing address
30 MEDICAL CENTER BLVD, SUITE 103, UPLAND, PA 19013-3955
(610) 874-7111
(610) 874-5687
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006704470001
—
PA
Enumeration date
05/20/2006
Last updated
02/18/2016
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