Most Relevant Information
Provider Data
| NPI Number: | 1003557596 |
| Provider Name: | RISA GOLDBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2022 |
| Last Updated: | 04/06/2022 |
Provider Practice Location
833 CHESTNUT ST STE 220
PHILADELPHIA
PA
191074405
Practice Location Phone/Fax
| Phone: | 2159558465 |
| Fax: | 2159552516 |
Provider Mailing Location
833 CHESTNUT ST STE 220
PHILADELPHIA
PA
191074405
Provider Mailing Phone/Fax
| Phone: | 2159558465 |
| Fax: | 2159552516 |