Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID D GOLDBERG, D.O.
Active Sole ProprietorDAVID D GOLDBERG, D.O. is a Addiction Medicine (Family Practice) healthcare provider located in MORAINE, Ohio. NPI 1578563128 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · MORAINE, OH
Registration Details
- NPI Number
- 1578563128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (21.036303815786 yrs)
- Last Updated
- Aug 16, 2011
- Licenses
-
34-00-2116G (OH)34-00-2116G (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3033 KETTERING BLVDSUITE 100MORAINE, OH, 454391962Browse OH providers · Browse ZIP 45439
- Phone
- 9372932133
- Fax
- 9372932161
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.