Goldenberg, Mark
Goldenberg, Mark is an individual health care provider with primary practice located at 39Th & Market Street 2 Myrin, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Goldenberg, Mark can be contacted via phone (215) 662-8229.Contact Information
Primary practice address
39Th & Market Street 2 Myrin
Philadelphia PA 19104
Phone: (215) 662-8229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD029139E | Pennsylvania |
Profile Details
| NPI number | 1376568949 |
|---|---|
| LBN Legal business name | Goldenberg, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1376568949 | NPPES |
| Pennsylvania | MEDICAID | 0009173660005 |
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