Goldblatt, Marc S

Goldblatt, Marc S is an individual health care provider with primary practice located at 1331 N 7Th St Ste 275 , Phoenix AZ 85006-2769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Goldblatt, Marc S can be contacted via phone (602) 252-7004.

Contact Information

Primary practice address
1331 N 7Th St Ste 275 Phoenix AZ 85006-2769
Phone: (602) 252-7004
Fax: (602) 252-6232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 10188 Arizona

Profile Details

NPI number 1154317824
LBN Legal business name Goldblatt, Marc S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 3rd, 2020 - about 4 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 1154317824 NPPES
Arizona MEDICAID 205410

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