Individual
DR. ROGER STEVEN GOLOMB
Active
Individual
DR. ROGER STEVEN GOLOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
ME0021279
FL
207NS0135X
Procedural Dermatology Physician
Primary
0021279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305012
UNITED HEALTH CARE
FL
01
—
2127587
AETNA
FL
01
—
2147510
PROVIDER NUMBER
FL
01
—
77445
MEDICARE GROUP PROV NUMBE
FL
01
—
78014Z
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/19/2005
Last updated
12/07/2007
Update your record
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