Goldberg, Gerald Norman

Goldberg, Gerald Norman is an individual health care provider with primary practice located at 5150 E Glenn St , Tucson AZ 85712-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Goldberg, Gerald Norman can be contacted via phone (520) 795-7729.

Contact Information

Primary practice address
5150 E Glenn St Tucson AZ 85712-1337
Fax: (520) 795-4177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11394 Arizona

Profile Details

NPI number 1932106838
LBN Legal business name Goldberg, Gerald Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 9th, 2007 - about 17 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 1932106838 NPPES
Arizona MEDICAID 240127

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