Individual
DR. FRED ELIAS GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1340 OLD CHAIN BRIDGE RD, SUITE 102, MCLEAN, VA 22101-3955
(703) 893-2020
(703) 893-4757
Mailing address
1340 OLD CHAIN BRIDGE RD, SUITE 102, MCLEAN, VA 22101-3955
(703) 893-2020
(703) 893-4757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000055
VA
Other
Enumeration date
11/29/2006
Last updated
11/28/2007
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