JACK GOLDBERG MD NPI 1548372022

NPI Information

NPI: 1548372022
Provider Name: JACK GOLDBERG, MD
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Address:
51 N. 39TH STREET
103A MEDICAL ARTS BUILDING
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-9801
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Jack Goldberg, MD is a hematology internal medicine in Philadelphia, PA. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Jack Goldberg, MD NPI is 1548372022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

51 N. 39TH STREET
103A MEDICAL ARTS BUILDING
PHILADELPHIA, PA
ZIP 19104-640
Phone: (215) 662-9801
Fax: (215) 243-3249

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	MD045263	PENNSYLVANIA	No
2	207RX0202X	Internal Medicine	Medical Oncology	MD045263E	PENNSYLVANIA	No
3	207RH0000X	Internal Medicine	Hematology	MD045263E	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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