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
Phone: (860) 242-3933
Fax: (860) 242-3301
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245226406 | NPPES |
Connecticut | MEDICAID | 001002469 |
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