Goldberg, Michael Ira

Goldberg, Michael Ira is an sole proprietor health care provider with primary practice located at 78 Easton Avenue , New Brunswick NJ 08901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Goldberg, Michael Ira can be contacted via phone (732) 828-3300.

Contact Information

Primary practice address
78 Easton Avenue New Brunswick NJ 08901
Fax: (732) 937-5739
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MA34713 New Jersey

Profile Details

NPI number 1528117926
LBN Legal business name Goldberg, Michael Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jun 29th, 2010 - about 14 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 1528117926 NPPES
New Jersey MEDICAID 3092305

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