Goldberg, Eric Robin

Goldberg, Eric Robin is an individual health care provider with primary practice located at 421 Cottage Grove Rd Suite B, Bloomfield CT 06002-3119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goldberg, Eric Robin can be contacted via phone (860) 242-3933.

Contact Information

Primary practice address
421 Cottage Grove Rd Suite B Bloomfield CT 06002-3119
Fax: (860) 242-3301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 000246 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 000246 Connecticut

Profile Details

NPI number 1245226406
LBN Legal business name Goldberg, Eric Robin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245226406 NPPES
Connecticut MEDICAID 001002469

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