Individual
MS. JENNIFER GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
51 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 509-6900
(973) 509-6939
Mailing address
51 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 509-6900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00030300
NJ
Other
Enumeration date
08/08/2006
Last updated
04/16/2008
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