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NPI Code Detail

MEDICARE: DR. NAOMI GOLOFF MD

MEDICARE: DR. NAOMI GOLOFF MD
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
1208000000XPediatrics Physician53894MN
22080H0002XPediatric Hospice and Palliative Medicine Physician53894MN

General Provider Information

NPI Number : 1093040404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAOMI GOLOFF MD
Provider Business Mailing Address
First Line : 2450 26TH AVE S
Second Line : FAIRVIEW HOME CARE AND HOSPICE
City : MINNEAPOLIS
State : MN
Zip : 55406-1245
Country : US
Telephone Number : 612-721-2491
Fax Number : 612-728-2400
Provider Business Practice Location Address
First Line : 2450 26TH AVE S
Second Line : FAIRVIEW HOME CARE AND HOSPICE
City : MINNEAPOLIS
State : MN
Zip : 55406-1245
Country : US
Telephone Number : 612-721-2491
Fax Number : 612-728-2400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2009
Last Update Date : 03/07/2023

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