Individual
DR. RYAN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-8892
Mailing address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-8892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46471
CO
207RN0300X
Nephrology Physician
Primary
25MA08735400
NJ
207RN0300X
Nephrology Physician
46471
CO
Other
Enumeration date
01/26/2007
Last updated
08/19/2010
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