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NPI Code Detail

MEDICARE: NOAH GOLDBERG

MEDICARE: NOAH GOLDBERG
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
1122300000XDentist7699LA

General Provider Information

NPI Number : 1053119933
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH GOLDBERG
Provider Business Mailing Address
First Line : 1624 LOCHRIDGE RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0737
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 BOLIVAR ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-7021
Country : US
Telephone Number : 504-568-4808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 06/30/2026

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Directions to “ NOAH GOLDBERG ” Practice Location

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