Russell S Goldberg, MD
Internal Medicine in Kirkland, WA. Individual provider (NPI-1).
NPI number1962425462
StatusActive
Last updated in NPPESApr 14, 2011
Details
- NPI
- 1962425462
- Entity type
- Individual (NPI-1)
- Name
- Russell S Goldberg
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Apr 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD00020625 | WA | Yes |
Practice location
13014 120th Ave NeKirkland, WA 98034-3015
Phone 425-821-8004
Mailing address
1100 9th AveMs M4-PA
Seattle, WA 98101-2756
Phone 206-583-6025 · Fax 206-515-5886
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