Goldberg, Fredric Howard
Goldberg, Fredric Howard is an individual health care provider with primary practice located at 380 Oxford Valley Rd , Langhorne PA 19047-8304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Goldberg, Fredric Howard can be contacted via phone (215) 949-5311.Contact Information
Primary practice address
380 Oxford Valley Rd
Langhorne PA 19047-8304
Phone: (215) 949-5311
Fax: (215) 949-5317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD-042377-L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD042377L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08301300 | New Jersey |
Profile Details
| NPI number | 1104822857 |
|---|---|
| LBN Legal business name | Goldberg, Fredric Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jan 6th, 2023 - about last year |
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 | 1104822857 | NPPES |
| Pennsylvania | MEDICAID | 0015119460010 | |
| Pennsylvania | Other | 30070981 | |
| Pennsylvania | Other | 616889 | |
| Pennsylvania | MEDICAID | 1511946 | |
| Pennsylvania | Other | 698885 | |
| Pennsylvania | Other | 0534094000 | |
| Pennsylvania | Other | P00760072 | |
| Pennsylvania | Other | 23062MD042377L |
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