Individual
MARK ROBERT GOLDBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30 CHOCTAW ST, SUITE A, ASHEVILLE, NC 28801-4513
(828) 255-7733
(828) 225-5207
Mailing address
PO BOX 603443, CHARLOTTE, NC 28260-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-00831
NC
207R00000X
Internal Medicine Physician
737
SC
207RP1001X
Pulmonary Disease Physician
Primary
2010-00831
NC
208000000X
Pediatrics Physician
737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00426369
—
CO
05
—
72032782
—
NM
05
—
951279
—
AZ
Enumeration date
10/14/2005
Last updated
12/14/2016
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