Mr Paul B Goldberg, MD is a
Allergy & Immunology physician based in Bridgeport, Connecticut. Mr Paul B Goldberg is licensed to practice in Connecticut (license number 020804) and his current practice location is 4641 Main St, Bridgeport, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 371-6060.
NPI number for Mr Paul B Goldberg is 1710971619 and his current mailing address is 4641 Main St, Bridgeport, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710971619.
Physician's Profile
| Full Name | Mr Paul B Goldberg |
|---|
| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 4641 Main St, Bridgeport, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710971619
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 06/04/2012
Medical Identifiers
Medical identifiers for Mr Paul B Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710971619 | NPI | - | NPPES |
| 1208040 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 020804 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Paul B Goldberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Paul B Goldberg, MD
4641 Main St,
Bridgeport, CT 06606-1827
Ph: (203) 371-6060 | Mr Paul B Goldberg, MD
4641 Main St,
Bridgeport, CT 06606-1827
Ph: (203) 371-6060 |
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