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Organization

PROFESSIONAL ASSOC. PC

Active
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Organization

PROFESSIONAL ASSOC. PC

Active
Other names
PULMONARY ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA A GOLDBERG R.N. (EXECUTIVE DIRECTOR)
(317) 924-8208
Entity
Organization

Contact information

Practice address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 924-8315
(317) 329-2006
Mailing address
4141 SHORE DR, INDIANAPOLIS, IN 46254-2607
(317) 924-8315
(317) 329-2006

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
09/04/2007
Last updated
06/21/2018
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