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Individual

EDWARD A GOLDBERG

Active
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Individual

EDWARD A GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35-090502
OH
2084N0400X
Neurology Physician
Primary
A112854
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
35-090502
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
35090502
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
A112854
CA
208VP0000X
Pain Medicine Physician
35090502
OH
208VP0014X
Interventional Pain Medicine Physician
35090502
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2825269
OH
01
CB298481
MEDICARE PTAN
CA
01
P02046317
RR MEDICARE PTAN
CA
Enumeration date
10/26/2007
Last updated
07/16/2018
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