DR. PAUL MICHAEL GOLDBERG D.O.

Allergy and Immunology

Rockville, Maryland

Provider NPI: 1972560456

Provider Information:
DR. PAUL MICHAEL GOLDBERG D.O.


Practice Location:
1201 SEVEN LOCKS RD SUITE 216 ROCKVILLE, MD 20854 US
Tel: 301-670-8338  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MD	H0032415
N	207K00000X	Physicians Allergy & Immunology	VA	0102036831
N	207KA0200X	Physicians Allergy & Immunology	MD	H0032415
N	207KA0200X	Physicians Allergy & Immunology	VA	0102036831

Other Provider Identifiers:

Issuer	Number	State	Type
FEDERAL TAX ID	52-1744186		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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