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General NPI Number Information
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NPI Number | 1801828785
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Entity Type | Individual
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Provider Name | DEBORAH ANN GOLDMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # R3
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-5378
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Fax | 216-444-2974
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # R3
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-5378
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Fax | 216-444-2974
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34001
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 34001
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 242583
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2080T0004X
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Taxonomy Name | Pediatric Transplant Hepatology Physician
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License Number | 128049
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License Number State | OH
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