Goldberg, Gary

Goldberg, Gary is an individual health care provider with primary practice located at 1350 Locust St Suite 409, Pittsburgh PA 15219-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Goldberg, Gary can be contacted via phone (412) 232-7608.

Contact Information

Primary practice address
1350 Locust St Suite 409 Pittsburgh PA 15219-4738
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD022752E Pennsylvania

Profile Details

NPI number 1235137258
LBN Legal business name Goldberg, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 21st, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235137258 NPPES
Pennsylvania MEDICAID 0010665350006

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