Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | D0016646 | MD |
NPI | 1033167648 |
---|---|
Provider Name | Dr. Stephen Gilbert Goldberger |
First Address | Naples, FL 34108-1814 |
Second Address | Naples, FL 34108-1814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 19/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
115640300 | (05) | MD |
B92778 | (02) |