Goldberg, Jory J
Goldberg, Jory J is an individual health care provider with primary practice located at 18 Centre Dr Suite 103, Monroe Twp NJ 08831-1501. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Goldberg, Jory J can be contacted via phone (609) 655-1700.Contact Information
Primary practice address
18 Centre Dr Suite 103
Monroe Twp NJ 08831-1501
Phone: (609) 655-1700
Fax: (609) 655-4455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA36882 | New Jersey |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA36882 | New Jersey |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA03688200 | New Jersey |
Profile Details
NPI number | 1407841638 |
---|---|
LBN Legal business name | Goldberg, Jory J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2005 |
Last updated | Dec 30th, 2013 - about 12 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 | 1407841638 | NPPES |
New Jersey | MEDICAID | 0428906 |
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