Individual
OLIVIA GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
901 W MAIN ST STE 267, FREEHOLD, NJ 07728-2537
(609) 921-9001
Mailing address
901 W MAIN ST STE 267, FREEHOLD, NJ 07728-2537
(609) 921-9001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00760400
NJ
363A00000X
Physician Assistant
MA064308
PA
Other
Enumeration date
11/22/2022
Last updated
01/17/2023
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