Goldberg, Amy J

Goldberg, Amy J is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Goldberg, Amy J can be contacted via phone (215) 707-3133.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Fax: (215) 707-2915
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD044083E Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD044083E Pennsylvania

Profile Details

NPI number 1235127275
LBN Legal business name Goldberg, Amy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235127275 NPPES
Pennsylvania MEDICAID 0014092540001

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