| Charles S Goldberg Md Pa | |
|
127 Pine St Montclair NJ 07042-4855 | |
| (973) 233-9559 | |
| Not Available |
| Full Name | Charles S Goldberg Md Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 127 Pine St, Montclair, New Jersey |
| Authorized Official Name and Position | Charles S Goldberg (PRESIDENT) |
| Authorized Official Contact | 9732339559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles S Goldberg Md Pa 127 Pine St Montclair NJ 07042-4855 Ph: (973) 233-9559 | Charles S Goldberg Md Pa 127 Pine St Montclair NJ 07042-4855 Ph: (973) 233-9559 |
| NPI Number | 1194986943 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194986943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA041455 (New Jersey) | Primary |
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