Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D15694 | MD |
Y | 208600000X | Surgeon | D15694 | MD |
NPI | 1023031176 |
---|---|
Provider Name | Dr. Nelson H. Goldberg |
First Address | Baltimore, MD 21264-4742 |
Second Address | Baltimore, MD 21264-4742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213357 | KAISER (01) | MD |
305241900 | (05) | MD |
32137002 | BLUE SHIELD (01) | MD |
3810003263 | (05) | WV |
80019 | GEISINGER (01) | MD |
D70383 | (02) | MD |
F821 | CAREFIRST REGIONAL GROUP (01) | MD |