Goren, Ronald C

Goren, Ronald C is an individual health care provider with primary practice located at 9501 Roosevelt Blvd Suite 208, Phila PA 19114-1025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Goren, Ronald C can be contacted via phone (215) 464-9634.

Contact Information

Primary practice address
9501 Roosevelt Blvd Suite 208 Phila PA 19114-1025
Phone: (215) 464-9634
Fax: (215) 969-2327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD022684E Pennsylvania

Profile Details

NPI number 1912986373
LBN Legal business name Goren, Ronald C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Aug 13th, 2014 - about 10 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 1912986373 NPPES
Pennsylvania MEDICAID 00730035

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