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Organization

JORY GOLDBERG, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORY J GOLDBERG M.D. (PHYSICIAN)
(609) 655-1700
Entity
Organization

Contact information

Practice address
18 CENTRE DR, SUITE 103, MONROE TWP, NJ 08831-5153
(609) 655-1700
(609) 655-4455
Mailing address
18 CENTRE DR, SUITE 103, MONROE TWP, NJ 08831-5153
(609) 655-1700
(609) 655-4455

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA03688200
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MA36882
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0428906
NJ
Enumeration date
08/30/2006
Last updated
12/29/2010
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