David D Goldberg in Moraine - Addiction Medicine
David D Goldberg - NPI 1578563128
David D Goldberg is a Addiction Medicine in Moraine, Ohio. David D Goldberg practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for David D Goldberg is 1578563128. The last update date is 2011-08-16.
David D Goldberg's current location address is 3033 Kettering Blvd, Moraine, Ohio. You can contact this provider via phone number 9372932133 and fax number 9372932161. The mailing address for David D Goldberg is 3033 Kettering Blvd, Moraine, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David D Goldberg |
|---|---|
| Address | 3033 Kettering Blvd, Moraine, Ohio |
| Phone Number | 9372932133 |
| Fax Number | 9372932161 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578563128 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2011-08-16 |
Provider Mailing Address Detail
| Address | 3033 Kettering Blvd |
|---|---|
| City | Moraine |
| State | Ohio (OH) |
| Post Code | 454391962 |
| Phone Number | 9372932133 |
| Fax Number | 9372932161 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 34-00-2116G |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 226414 | OH | ANTHEM | |
| 203998 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David D Goldberg by the Centers for Medicare & Medicaid Services (CMS)?
The David D Goldberg has been assigned the NPI (National Provider Identifier) 1578563128. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where David D Goldberg is located?
The David D Goldberg is situated at the following address: 3033 Kettering Blvd, Moraine, OH, 454391962.
What is David D Goldberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The David D Goldberg's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0401X.
When did David D Goldberg receive its 1578563128 assignment?
The David D Goldberg was assigned its 1578563128 on 2005-07-26, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to David D Goldberg most recently updated or revised?
The details related to David D Goldberg, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-16.