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Individual

BRUCE I GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, BOX 626 URMC, ROCHESTER, NY 14642-0001
(585) 273-3401
(585) 273-3637
Mailing address
601 ELMWOOD AVE, BOX 626 URMC, ROCHESTER, NY 14642-0001
(585) 273-3401
(585) 273-3637

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
149875
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD 038843E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010930960001
PA
Enumeration date
10/12/2005
Last updated
07/05/2023
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