Ethan M Goldberg in Philadelphia - Pediatrics
Ethan M Goldberg - NPI 1629234299
Ethan M Goldberg is a Pediatrics in Philadelphia, Pennsylvania. Ethan M Goldberg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ethan M Goldberg is 1629234299. The last update date is 2015-01-06.
Ethan M Goldberg's current location address is 100 E Penn Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2674259234 and fax number 2674259299. The mailing address for Ethan M Goldberg is 100 E Penn Sq, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan M Goldberg |
|---|---|
| Address | 100 E Penn Sq, Philadelphia, Pennsylvania |
| Phone Number | 2674259234 |
| Fax Number | 2674259299 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1629234299 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2015-01-06 |
Provider Mailing Address Detail
| Address | 100 E Penn Sq |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191073323 |
| Phone Number | 2674259234 |
| Fax Number | 2674259299 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MT192691 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique identifier code issued to Ethan M Goldberg by the Centers for Medicare & Medicaid Services (CMS)?
The Ethan M Goldberg has been assigned the NPI (National Provider Identifier) 1629234299. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Ethan M Goldberg is geographically located?
The Ethan M Goldberg is physically situated at the following location: 100 E Penn Sq, Philadelphia, PA, 191073323.
What is the Ethan M Goldberg's specialty and taxonomy code?
The Ethan M Goldberg's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did Ethan M Goldberg receive its 1629234299 assignment from the Centers for Medicare & Medicaid Services?
The Ethan M Goldberg was assigned its 1629234299 on 2008-08-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ethan M Goldberg most recently updated or refreshed?
The details pertaining to the Ethan M Goldberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC