Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G49527 | CA |
NPI | 1003991779 |
---|---|
Provider Name | Robert D. Goldfien |
First Address | Oakland, CA 94612-3429 |
Second Address | Richmond, CA 94801-3143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G495270 | (05) | CA |
F16204 | (02) |