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Individual
MICHAEL GOLDBERGER
Active
Individual
MICHAEL GOLDBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA06769800
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
25MA06769800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0787597000
AMERIHEALTH #
NJ
01
—
200033841
RAILROAD MEDICARE #
NJ
01
—
2059451
AETNA HMO #
NJ
01
—
223014220
TAX ID#
NJ
01
—
5222661
AETNA PPO#
NJ
01
—
5713655
GHI PPO #
NJ
05
—
7697601
—
NJ
01
—
B60824
AMERIHEALTH ADM #
NJ
01
—
P1024733
OXFORD #
NJ
Enumeration date
10/06/2006
Last updated
12/17/2009
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