DR. TODD H GOLDBERG

Address: 1235 Old York Rd Ste 214, Abington, PA 19001-3841
Phone: 2154814811

DR. TODD H GOLDBERG (NPI# 1639122492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639122492
Entity Type 1 - Individual
Full Name DR. TODD H GOLDBERG
Credential M.D.
Practice Address 1235 Old York Rd Ste 214
Abington
PA 19001-3841
Mailing Address 2500 Maryland Rd Ste 400
Willow Grove
PA 19090-1225
Practice Telephone 2154814811
Practice Fax Number 2155761787
Enumeration Date 05/19/2006
Last Update Date 07/19/2017
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 22946 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA MEDICARE 577633 01
PA 001051523 05
WV 3810010622 05

Office Location

Street Address 1235 OLD YORK RD STE 214
City ABINGTON
State PA
Zip Code 19001-3841

Providers with the same location

NPI Name Address
1790030724 MR. ZULFIQAR ARIF 1235 Old York Rd Ste 214, Abington, PA 19001-3841

Competitor

Search similar physicians

City ABINGTON
Zip Code 19001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.