Individual
MARK GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Mailing address
741 NORTHFIELD AVE, STE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 467-9586
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
50551
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010000352200
AMERICHOICE
—
01
—
0503191000
AMERIHEALTH
—
01
—
1K9390
HEALTHNET
—
01
—
4340667
AETNA
—
05
—
4580303
—
NJ
01
—
52B941
WELLCHOICE
—
01
—
5710571
GHI
—
01
—
6312229006
CIGNA
—
01
—
81670
AMERIGROUP
—
01
—
ES474
OXFORD
—
Enumeration date
10/04/2005
Last updated
07/08/2007
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