Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD073616L | PA |
NPI | 1033172507 |
---|---|
Provider Name | Dr. Howard R Goldberg |
First Address | Washington, PA 15301-9408 |
Second Address | Washington, PA 15301-9408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 14/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001899674 | (05) | PA |
H66377 | (02) | PA |