Goldblum, Kenneth D.

Goldblum, Kenneth D. is an individual health care provider with primary practice located at 217 Reeceville Rd Suite C, Coatesville PA 19320-1572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goldblum, Kenneth D. can be contacted via phone (610) 384-5110.

Contact Information

Primary practice address
217 Reeceville Rd Suite C Coatesville PA 19320-1572
Phone: (610) 384-5110
Fax: (610) 594-2625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD036863E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD036863E Pennsylvania

Profile Details

NPI number 1134188964
LBN Legal business name Goldblum, Kenneth D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 4th, 2013 - about 11 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 1134188964 NPPES
Pennsylvania MEDICAID 001127944

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