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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700804366 NPPES
Arizona MEDICAID 100462

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