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Kenneth D. Goldblum

Internist Geriatric Medicine

217 Reeceville Rd Suite C
Coatesville , Pennsylvania 19320-1572

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Kenneth D. Goldblum

Internist Geriatric Medicine

217 Reeceville Rd Suite C
Coatesville , Pennsylvania 19320-1572

(610) 594-2625

Write a Review Save Call

Kenneth D. Goldblum

Internist Geriatric Medicine

217 Reeceville Rd Suite C
Coatesville , Pennsylvania 19320-1572

(610) 594-2625 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Geriatric Medicine

Languages spoken

  • English

Location

217 Reeceville Rd Suite C Coatesville , Pennsylvania 19320-1572

First Address

  • Kenneth D. Goldblum
  • 412 Creamery Way Suite 400
  • Exton, PA
  • Zip : 19341-2500
  • Fax : (610) 594-2625
  • Phone : (610) 384-5110

Second Address

  • Kenneth D. Goldblum
  • 217 Reeceville Rd Suite C
  • Coatesville, PA
  • Zip : 19320-1572
  • Fax : (610) 594-2625
  • Phone : (610) 384-5110

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FAQs


Where did Kenneth D. Goldblum attend graduate school?

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Where did Kenneth D. Goldblum do his residency?

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Where did Kenneth D. Goldblum do his fellowship?

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Is Kenneth D. Goldblum board certified?

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What type of doctor is Kenneth D. Goldblum

Internist

In what state does Kenneth D. Goldblum practice in?

Pennsylvania

Where is Kenneth D. Goldblum ’s practice located?

217 Reeceville Rd Suite C , Coatesville, Pennsylvania, 19320-1572

What is Kenneth D. Goldblum ’s gender?

Male

Is Kenneth D. Goldblum a sole practitioner?

No

Is Kenneth D. Goldblum accepting new patients?

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What languages does Kenneth D. Goldblum speak?

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Does Kenneth D. Goldblum accept insurance?

Yes, Kenneth D. Goldblum accepts insurance

Does Kenneth D. Goldblum offers telemedicine?

Kenneth D. Goldblum has not indicated if he offers telemedicine

What is Kenneth D. Goldblum ’s professional license number?

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What is Kenneth D. Goldblum ’s NPI number?

1134188964

Does Kenneth D. Goldblum have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207R00000X Internist MD036863E PA
Y 111NI0900X Internist MD036863E PA
N 207RG0300X Geriatric Medicine MD036863E PA

National Provider Identifier

NPI 1134188964
Provider Name Kenneth D. Goldblum
First Address Exton, PA 19341-2500
Second Address Coatesville, PA 19320-1572
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/03/2006
Last Update Date 04/12/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
001127944 (05) PA
B40995 (02) PA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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