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
Phone: (732) 828-3300
Fax: (732) 937-5739
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1528117926 | NPPES |
| New Jersey | MEDICAID | 3092305 |
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