MEDICARE: NOAH J. GOLDMAN,DPM,PC

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
1	261QP1100X	Podiatric Clinic/Center	SC002177L	PA

General Provider Information

NPI Number	:	1891749966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOAH J. GOLDMAN,DPM,PC

Provider Business Mailing Address
First Line	:	7919 VERREE RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2526
Country	:	US
Telephone Number	:	215-742-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	7919 VERREE RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2526
Country	:	US
Telephone Number	:	215-742-8383
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. NOAH J GOLDMAN
Credential	:	D.P.M.
Telephone Number	:	215-742-8383

Provider Enumeration Date	:	05/21/2006
Last Update Date	:	08/22/2020

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