Goldenberg, David Todd

Goldenberg, David Todd is an individual health care provider with primary practice located at 1101 E Missouri Ave , Phoenix AZ 85014-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Goldenberg, David Todd can be contacted via phone (602) 222-2221.

Contact Information

Primary practice address
1101 E Missouri Ave Phoenix AZ 85014-2709
Phone: (602) 222-2221
Fax: (602) 266-2044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301089370 Michigan
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 41482 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 41482 Arizona

Profile Details

NPI number 1417170432
LBN Legal business name Goldenberg, David Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 26th, 2019 - about 5 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 1417170432 NPPES
Arizona MEDICAID 436752
Arizona MEDICAID 5192486
Arizona Other 38-1946761

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