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General NPI Number Information
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NPI Number | 1164660080
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Entity Type | Organization
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Legal Business Name | AARON D. GOLDBERG MD, CHTD.
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 2835 SMITH AVE SUITE 207
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City | BALTIMORE
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State | MD
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Zip | 21209-1453
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Country | US
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Telephone | 410-358-4243
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Fax | 410-358-1016
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Provider Business Mailing Address
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Address Line | 2835 SMITH AVE SUITE 207
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City | BALTIMORE
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State | MD
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Zip | 21209-1453
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Country | US
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Telephone | 410-358-4243
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Fax | 410-358-1016
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. AARON D GOLDBERG
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Credential | M.D.
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Telephone | 410-358-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | MD
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