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NPI Code Detail

MEDICARE: DR. VERA GOLDBERG MD

MEDICARE: DR. VERA GOLDBERG 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 PhysicianMD600004276DC
2208000000XPediatrics PhysicianD0094424MD

General Provider Information

NPI Number : 1609308154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA GOLDBERG MD
Provider Business Mailing Address
First Line : 1133 E WEST HWY APT 1111W
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-6812
Country : US
Telephone Number : 410-940-8255
Fax Number :
Provider Business Practice Location Address
First Line : 1801 MISSISSIPPI AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6120
Country : US
Telephone Number : 202-436-3060
Fax Number : 202-436-3098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 07/03/2025

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