Individual
ROSEANNE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1580
(203) 732-1576
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1580
(203) 732-1576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001632
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00424281400
BLUECARE FAMILY PLAN
CT
01
—
080001632CT01
BLUE CROSS BLUE SHIELD
CT
01
—
2V3989
HEALTHNET
CT
01
—
659984
CONNECTICARE
CT
01
—
7710575
AETNA
CT
01
—
A752119
OXFORD
CT
Enumeration date
06/15/2006
Last updated
07/08/2007
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