Goldberg, Mark

Goldberg, Mark is an individual health care provider with primary practice located at 741 Northfield Ave Ste 205, West Orange NJ 07052-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goldberg, Mark can be contacted via phone (973) 467-1544.

Contact Information

Primary practice address
741 Northfield Ave Ste 205 West Orange NJ 07052-1174
Phone: (973) 467-1544
Fax: (973) 467-9586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 50551 New Jersey

Profile Details

NPI number 1114914389
LBN Legal business name Goldberg, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1114914389 NPPES
New Jersey MEDICAID 4580303
New Jersey Other 81670
New Jersey Other ES474
New Jersey Other 4340667
New Jersey Other 1K9390
New Jersey Other 52B941
New Jersey Other 6312229006
New Jersey Other 010000352200
New Jersey Other 0503191000
New Jersey Other 5710571

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