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Individual

AVIVA GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 E KENNEDY BLVD, LAKEWOOD, NJ 08701-1488
(732) 901-0050
Mailing address
1201 RIVER AVE UNIT 10, LAKEWOOD, NJ 08701-5676
(732) 775-0222

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00881200
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ0081200
NJ

Other

Enumeration date
07/16/2019
Last updated
08/14/2025
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