Individual
PUJA GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5750 W THUNDERBIRD RD STE F680, GLENDALE, AZ 85306
(602) 843-7171
(602) 866-1440
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
54521
AZ
207RN0300X
Nephrology Physician
A126554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298466
—
AZ
Enumeration date
06/23/2008
Last updated
10/22/2018
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