Lee R Goldberg
Internist Interventional Cardiology Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
3400 Civic Center Boulevard 2 East Perelman Center
Philadelphia
, Pennsylvania 19104-4306
Lee R Goldberg
Internist Interventional Cardiology Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
3400 Civic Center Boulevard 2 East Perelman Center
Philadelphia
, Pennsylvania 19104-4306
(215) 615-0820
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Lee R Goldberg
- 3400 Civic Center Boulevard 2 East Perelman Center
- Philadelphia, PA
- Zip : 19104-4306
- Phone : (215) 615-0820
Second Address
- Lee R Goldberg
- 3400 Civic Center Boulevard 2 East Perelman Center
- Philadelphia, PA
- Zip : 19104-4306
- Phone : (215) 615-0820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD053627L | PA |
| N | 111NI0900X | Internist | MD053627L | PA |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD053627L | PA |
| N | 207RC0000X | Internist - Cardiovascular Disease | MD053627L | PA |
| N | 207RI0011X | Interventional Cardiology | MD053627L | PA |
National Provider Identifier
| NPI | 1144250259 |
|---|---|
| Provider Name | Lee R Goldberg |
| First Address | Philadelphia, PA 19104-4306 |
| Second Address | Philadelphia, PA 19104-4306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 13/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G67785 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.