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Individual

SCOTT M GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29 JEFFERSON CT, ZION CROSSROADS, VA 22942-9602
(434) 654-8900
(844) 527-9358
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 975-1834

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101272335
VA
207Q00000X
Family Medicine Physician
264518
MA

Other

Enumeration date
04/12/2015
Last updated
07/27/2021
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