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NPI Code Detail

MEDICARE: DR. TATYANA GOLDMAN M.D.

MEDICARE: DR. TATYANA GOLDMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD430410PA

General Provider Information

NPI Number : 1710053798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TATYANA GOLDMAN M.D.
Provider Business Mailing Address
First Line : 52 ROCKLYNN PL
Second Line :
City : MT LEBANON
State : PA
Zip : 15228-1829
Country : US
Telephone Number : 412-341-2053
Fax Number : 412-223-4385
Provider Business Practice Location Address
First Line : 245 ELM DR
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-8275
Country : US
Telephone Number : 724-231-2053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 05/30/2024

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