Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MD11473 | DC |
NPI | 1063530335 |
---|---|
Provider Name | Dr. Isabel Goldenberg |
First Address | Washington, DC 20052 |
Second Address | Washington, DC 20052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 11/07/2017 |