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Individual

MICHAEL GOLDBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
160 HANOVER AVENUE, MORRISTOWN, NJ 07962
(973) 538-2334
(973) 538-4081
Mailing address
PO BOX 1446, MORRISTOWN, NJ 07962-1446
(973) 538-2334
(973) 538-4081

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA06769800
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
25MA06769800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0787597000
AMERIHEALTH #
NJ
01
200033841
RAILROAD MEDICARE #
NJ
01
2059451
AETNA HMO #
NJ
01
223014220
TAX ID#
NJ
01
5222661
AETNA PPO#
NJ
01
5713655
GHI PPO #
NJ
05
7697601
NJ
01
B60824
AMERIHEALTH ADM #
NJ
01
P1024733
OXFORD #
NJ
Enumeration date
10/06/2006
Last updated
12/17/2009
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