Dr. Glenn Robert Goldfarb, M.D.
Specialist in Charleston, WV. Individual provider (NPI-1).
NPI number1679536627
StatusActive
Last updated in NPPESDec 19, 2011
Details
- NPI
- 1679536627
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn Robert Goldfarb
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2006
- Last updated
- Dec 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 15212 | WV | Yes |
Practice location
2345 Chesterfield AveSuite 303
Charleston, WV 25304-1064
Phone 304-343-0149 · Fax 304-343-2587
Mailing address
2345 Chesterfield AveSuite 303
Charleston, WV 25304-1062
Phone 304-343-0149 · Fax 304-343-2587
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