Goldberg, Robert Paul

Goldberg, Robert Paul is an individual health care provider with primary practice located at 22 W Main St , Niantic CT 06357-2340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goldberg, Robert Paul can be contacted via phone (860) 739-4431.

Contact Information

Primary practice address
22 W Main St Niantic CT 06357-2340
Phone: (860) 739-4431
Fax: (860) 739-9461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28990 Connecticut

Profile Details

NPI number 1003809096
LBN Legal business name Goldberg, Robert Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Apr 30th, 2008 - about 18 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 1003809096 NPPES
Connecticut Other 010028990CT01 BC/BS
Connecticut MEDICAID 1289900 BC/BS
Connecticut Other 030056 BC/BS

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