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NPI Code Detail

MEDICARE: DR. GERALD NORMAN GOLDBERG M.D.

MEDICARE:  DR. GERALD NORMAN GOLDBERG  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
1207N00000XDermatology Physician11394AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932106838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD NORMAN GOLDBERG M.D.
Provider Business Mailing Address
First Line : 5150 E GLENN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1337
Country : US
Telephone Number : 520-795-7729
Fax Number : 520-795-4177
Provider Business Practice Location Address
First Line : 5150 E GLENN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1337
Country : US
Telephone Number : 520-795-7729
Fax Number : 520-795-4177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/09/2007

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Directions to “ DR. GERALD NORMAN GOLDBERG M.D.” Practice Location

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