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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1235256074 |
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| LBN Legal business name | MYRON GOLDBERG M.D. OFFICE BASED SURGICAL FACILITY P.C. | ||||
| Authorized official | MYRON GOLDBERG - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/26/2007 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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MYRON GOLDBERG M.D. OFFICE BASED SURGICAL FACILITY P.C.