Provider Demographics
NPI:1427037860
Name:GOLDBACHER, ARLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLEEN
Middle Name:
Last Name:GOLDBACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ARLEEN
Other - Middle Name:
Other - Last Name:NAIDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1874 AUTUMN LEAF LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1526
Mailing Address - Country:US
Mailing Address - Phone:215-364-6818
Mailing Address - Fax:215-364-8797
Practice Address - Street 1:1874 AUTUMN LEAF LN
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1526
Practice Address - Country:US
Practice Address - Phone:215-364-6818
Practice Address - Fax:215-364-8797
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041209E2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ108324PHVMedicare PIN