Individual
MR. MICHAEL SCOT GOLDENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2525 MAIN ST, THE LAWRENCEVILLE SCHOOL, LAWRENCEVILLE, NJ 08648-1617
(609) 895-2105
(609) 895-2158
Mailing address
2525 MAIN ST, THE LAWRENCEVILLE SCHOOL, LAWRENCEVILLE, NJ 08648-1617
(609) 895-2105
(609) 895-2158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MT00232
NJ
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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