Organization
TAYLORS MILLS FAMILY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER GOLDBERG M.D. (PHYSICIAN)
(732) 577-1066
Entity
Organization
Contact information
Practice address
224 TAYLORS MILLS ROAD, MANALAPAN, NJ 07726
(732) 577-1066
(732) 577-0049
Mailing address
11 AMAGANSETT DR, MORGANVILLE, NJ 07751-1182
(732) 995-9760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA61632
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9017003
—
NJ
Enumeration date
03/01/2007
Last updated
04/07/2010
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