Individual
DR. MICHAEL IRA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 EASTON AVENUE, NEW BRUNSWICK, NJ 08901
(732) 828-3300
(732) 937-5739
Mailing address
78 EASTON AVENUE, NEW BRUNSWICK, NJ 08901
(732) 828-3300
(732) 937-5739
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MA34713
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3092305
—
NJ
Enumeration date
01/09/2007
Last updated
06/29/2010
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