Provider Demographics
NPI:1801059316
Name:GOLDIN-PERSCHBACHER, MAYA (MD)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:
Last Name:GOLDIN-PERSCHBACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 WASHINGTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3279
Mailing Address - Country:US
Mailing Address - Phone:724-969-5025
Mailing Address - Fax:
Practice Address - Street 1:3055 WASHINGTON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3279
Practice Address - Country:US
Practice Address - Phone:724-969-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD441991208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics