Mark Charles Goldberg in Tucson - Vascular & Interventional Radiology

Mark Charles Goldberg - NPI 1700804366

Mark Charles Goldberg is a Vascular & Interventional Radiology in Tucson, Arizona. Mark Charles Goldberg practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Mark Charles Goldberg is 1700804366. The last update date is 2011-01-14.

Mark Charles Goldberg's current location address is 4790 E Camp Lowell Dr, Tucson, Arizona. You can contact this provider via phone number 5203195922 and fax number 5203196128. The mailing address for Mark Charles Goldberg is 4790 E Camp Lowell Dr, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Charles Goldberg
Address 4790 E Camp Lowell Dr, Tucson, Arizona
Phone Number 5203195922
Fax Number 5203196128
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700804366
Provider Enumeration Date 2006-07-18
Last Updated Date 2011-01-14

Provider Mailing Address Detail

Address 4790 E Camp Lowell Dr
City Tucson
State Arizona (AZ)
Post Code 857121275
Phone Number 5203195922
Fax Number 5203196128

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 18426
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100462 AZ --

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FAQs about Mark Charles Goldberg

What is the unique provider identifier assigned to Mark Charles Goldberg?

The Mark Charles Goldberg has been issued the NPI (National Provider Identifier) 1700804366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mark Charles Goldberg is physically located?

The Mark Charles Goldberg is situated at the following address: 4790 E Camp Lowell Dr, Tucson, AZ 857121275.

What is Mark Charles Goldberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Charles Goldberg is Vascular & Interventional Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0204X.

On what date did the Mark Charles Goldberg receive the assignment of its 1700804366 from the Centers for Medicare & Medicaid Services?

The Mark Charles Goldberg was issued its 1700804366 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the Mark Charles Goldberg's details last updated?

The information pertaining to the Mark Charles Goldberg, including its address, specialty, and other details, was most recently updated on 2011-01-14.

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