| John M Goldberg Md Pllc | |
|
2501 E Southern Ave Suite 22 Tempe AZ 85282-7669 | |
| (480) 985-1093 | |
| Not Available |
| Full Name | John M Goldberg Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | John M Goldberg (PRESIDENT) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Goldberg Md Pllc 2501 E Southern Ave Suite 22 Tempe AZ 85282-7669 Ph: (480) 985-1093 | John M Goldberg Md Pllc 2501 E Southern Ave Suite 22 Tempe AZ 85282-7669 Ph: (480) 985-1093 |
| NPI Number | 1356532048 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Medicare PECOS PAC ID | 1153418447 |
|---|---|
| Medicare Enrollment ID | O20071102000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356532048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | John M Goldberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356319388 PECOS PAC ID: 9739077900 Enrollment ID: I20040309000558 |
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