Goldberg, Mark Charles
Goldberg, Mark Charles is an individual health care provider with primary practice located at 4790 E Camp Lowell Dr , Tucson AZ 85712-1275. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Goldberg, Mark Charles can be contacted via phone (520) 319-5922.Contact Information
Primary practice address
4790 E Camp Lowell Dr
Tucson AZ 85712-1275
Phone: (520) 319-5922
Fax: (520) 319-6128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18426 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 18426 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 18426 | Arizona |
Profile Details
| NPI number | 1700804366 |
|---|---|
| LBN Legal business name | Goldberg, Mark Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 14th, 2011 - about 13 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 | 1700804366 | NPPES |
| Arizona | MEDICAID | 100462 |
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