Individual
ROBIN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7607
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002076075
—
CT
05
—
004235893
—
CT
Enumeration date
10/20/2005
Last updated
08/13/2013
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