Provider Demographics
NPI:1063530335
Name:GOLDENBERG, ISABEL (MD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:GOLDENBERG
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 1:800 21ST STREET, NW, COLONIAL HEALTH CENTER
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20052
Mailing Address - Country:US
Mailing Address - Phone:202-994-5300
Mailing Address - Fax:202-994-2622
Practice Address - Street 1:800 21ST STREET, NW
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20052
Practice Address - Country:US
Practice Address - Phone:202-994-5300
Practice Address - Fax:202-994-2622
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD114732080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine