# MICHAEL GOLDBERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316034002
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 25MA06769800 | NJ | — |
| 207X00000X | Orthopaedic Surgery Physician | 25MA06769800 | NJ | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 12/17/2009

## 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 |