Individual
ALVIN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER ROAD, NORTH BERGEN, NJ 07047
(201) 854-5009
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33453
NJ
207Q00000X
Family Medicine Physician
25MA03345300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4567200
—
NJ
Enumeration date
07/28/2006
Last updated
04/09/2021
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