Goldenberg, Bruce S.

Goldenberg, Bruce S. is an sole proprietor health care provider with primary practice located at 1500 Pleasant Valley Way Ste 206 , West Orange NJ 07052-2956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Goldenberg, Bruce S. can be contacted via phone (973) 467-5550.

Contact Information

Primary practice address
1500 Pleasant Valley Way Ste 206 West Orange NJ 07052-2956
Phone: (973) 467-5550
Fax: (973) 467-9511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MA05016000 New Jersey

Profile Details

NPI number 1538168745
LBN Legal business name Goldenberg, Bruce S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Feb 21st, 2023 - about 3 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 1538168745 NPPES
New Jersey MEDICAID 0120405

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