Etai Goldenberg is a Urology in St. Louis, Missouri. Etai Goldenberg practices all healthcare services and medical treatments related to Urology. The NPI Number for Etai Goldenberg is 1669663605. The last update date is 2021-12-01.
Etai Goldenberg's current location address is 12855 N. Forty Dr., St. Louis, Missouri. You can contact this provider via phone number 3145676071 and fax number 3145673321. The mailing address for Etai Goldenberg is 12855 N. Forty Dr., St. Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etai Goldenberg |
|---|---|
| Address | 12855 N. Forty Dr., St. Louis, Missouri |
| Phone Number | 3145676071 |
| Fax Number | 3145673321 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669663605 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 12855 N. Forty Dr. |
|---|---|
| City | St. Louis |
| State | Missouri (MO) |
| Post Code | 63141 |
| Phone Number | 3145676071 |
| Fax Number | 3145673321 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 36133097 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the Etai Goldenberg's unique identification number?
The Etai Goldenberg has been assigned the NPI (National Provider Identifier) Number 1669663605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Etai Goldenberg located?
The Etai Goldenberg is located at 12855 N. Forty Dr., St. Louis, MO 63141.
What is the area of specialization for Etai Goldenberg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Etai Goldenberg is Urology, and the corresponding taxonomy code that categorizes this area of expertise is 208800000X.
On what date was the 1669663605 assigned to Etai Goldenberg?
The Etai Goldenberg was issued its 1669663605 on 2007-08-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Etai Goldenberg most recently updated?
The details pertaining to the Etai Goldenberg, including its address, specialty, and other relevant information, were last refreshed on 2021-12-01.
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