Provider Demographics
NPI:1568553493
Name:GOLDMAN, NANCY SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:SUE
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:150 N ROBERTSON BLVD
Mailing Address - Street 2:#200
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211
Mailing Address - Country:US
Mailing Address - Phone:310-652-9347
Mailing Address - Fax:310-652-3489
Practice Address - Street 1:150 N ROBERTSON BLVD
Practice Address - Street 2:#200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-652-9347
Practice Address - Fax:310-652-3489
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2013-11-15
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Provider Licenses
StateLicense IDTaxonomies
CAG46358207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E02666Medicare UPIN