Goldenberg, Marat
Goldenberg, Marat is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Goldenberg, Marat can be contacted via phone (706) 774-7263.Contact Information
Primary practice address
1350 Walton Way
Augusta GA 30901
Phone: (706) 774-7263
Fax: (706) 774-7230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 068171 | Georgia |
Profile Details
| NPI number | 1336190552 |
|---|---|
| LBN Legal business name | Goldenberg, Marat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 28th, 2018 - about 6 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 | 1336190552 | NPPES |
| Georgia | MEDICAID | 003126148B | |
| Georgia | MEDICAID | 003126148A |
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