Individual
MATTHEW J GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
65 CALEF HWY, SUITE 200, LEE, NH 03861-6703
(603) 868-3300
(603) 868-3303
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 868-3300
(603) 868-3303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11272
NH
207Q00000X
Family Medicine Physician
DO2216
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407895998
—
ME
05
—
3075633
—
NH
Enumeration date
06/06/2006
Last updated
02/25/2014
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