IndividualActive
Andrew Goldberg, M.D.
NPI 1356365076 · Specialist · Fairfax, VA
Provider details
- NPI number
- 1356365076
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101046779 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
3700 Joseph Siewick Dr
Suite 301
Fairfax, VA 22033-1744
Phone: (703) 264-0904
Fax: (703) 264-0906
Approximate (ZIP-level) locationGet directions
Mailing address
3700 Joseph Siewick Dr
Fairfax, VA 22033-1744
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.