Individual
JERRY SIMON GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
282 HOBART ST, PERTH AMBOY, NJ 08861-4311
(718) 757-0199
Mailing address
282 HOBART ST, PERTH AMBOY, NJ 08861-4311
(718) 757-0199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00682600
NJ
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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