Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETAI GOLDENBERG, MD
ActiveMR. ETAI GOLDENBERG, MD is a Urology healthcare provider located in ST. LOUIS, Missouri. NPI 1669663605 is currently active in the NPPES registry. Verify at CMS.
Urology · ST. LOUIS, MO
Registration Details
- NPI Number
- 1669663605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2007 (19.052491198561 yrs)
- Last Updated
- Dec 1, 2021
- Licenses
-
036133097 (IL)2013013914 (MO)
Practice Information
- Address
-
12855 N. FORTY DR.STE 375ST. LOUIS, MO, 63141Browse MO providers · Browse ZIP 63141
- Phone
- 3145676071
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
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.