Goldberg, Amy J
Goldberg, Amy J is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Goldberg, Amy J can be contacted via phone (215) 707-3133.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD044083E | Pennsylvania |
Profile Details
| NPI number | 1235127275 |
|---|---|
| LBN Legal business name | Goldberg, Amy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Oct 12th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235127275 | NPPES |
| Pennsylvania | MEDICAID | 0014092540001 |
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