Individual
DR. NANCY JACOBS GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1619 GRANT AVE, PHILADELPHIA, PA 19115-3167
(215) 934-6100
(215) 934-6713
Mailing address
101 GREENWOOD AVE, SUITE 150, JENKINTOWN, PA 19046-2627
(215) 379-8458
(215) 379-8461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD024196E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD024196E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000935088
—
PA
Enumeration date
07/07/2005
Last updated
04/25/2014
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