# MATTHEW J GOLDBERG

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

## Provider details

- **NPI number:** 1407895998
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11272 | NH | Yes |
| 207Q00000X | Family Medicine Physician | DO2216 | ME | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 02/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1407895998 | — | ME |
| 05 | — | 3075633 | — | NH |