Individual
DR. PAUL MICHAEL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1201 SEVEN LOCKS RD, SUITE 216, ROCKVILLE, MD 20854-2931
(301) 670-8338
(301) 670-8339
Mailing address
12300 BRIARBUSH LN, POTOMAC, MD 20854-1032
(301) 670-8338
(301) 670-8339
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0102036831
VA
207K00000X
Allergy & Immunology Physician
Primary
H0032415
MD
207KA0200X
Allergy Physician
0102036831
VA
207KA0200X
Allergy Physician
H0032415
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52-1744186
FEDERAL TAX ID
—
Enumeration date
04/27/2006
Last updated
04/23/2014
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