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Individual

DR. CHARLES S GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
127 PINE STREET, MONTCLAIR, NJ 07042
(973) 233-9559
(973) 233-9660
Mailing address
127 PINE STREET, MONTCLAIR, NJ 07042
(973) 233-9559
(973) 233-9660

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA041455
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6606504
NJ
Enumeration date
07/21/2006
Last updated
08/08/2008
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