Jesse Goldman is a Nephrology in Philadelphia, Pennsylvania. Jesse Goldman practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Jesse Goldman is 1861480022. The last update date is 2016-05-12.
Jesse Goldman's current location address is 3401 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157073381 and fax number 2157074148. The mailing address for Jesse Goldman is 3401 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Goldman |
|---|---|
| Address | 3401 N Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2157073381 |
| Fax Number | 2157074148 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861480022 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2016-05-12 |
Provider Mailing Address Detail
| Address | 3401 N Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191405103 |
| Phone Number | 2157073381 |
| Fax Number | 2157074148 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | MD050104L |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14224520007 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jesse Goldman by the Centers for Medicare & Medicaid Services?
The Jesse Goldman has been issued the NPI (National Provider Identifier) 1861480022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jesse Goldman?
The Jesse Goldman is physically situated at 3401 N Broad St, in the city of Philadelphia, state of PA, with the postal code 191405103.
What is Jesse Goldman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jesse Goldman's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.
When did Jesse Goldman receive its 1861480022 assignment?
The Jesse Goldman was assigned its 1861480022 on 2005-10-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jesse Goldman most recently updated or revised?
The details related to Jesse Goldman, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-12.