Individual
DR. GERALD NORMAN GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5150 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Mailing address
5150 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11394
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240127
—
AZ
Enumeration date
07/07/2005
Last updated
07/09/2007
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