Individual
DR. BRYAN DOUGLAS GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3433
(860) 585-3910
Mailing address
PO BOX 2699, DEPT 200, HARTFORD, CT 06146-2699
(086) 689-8713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
034419
CT
Other
Enumeration date
09/20/2006
Last updated
11/01/2007
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