Individual
DR. GIDON FEIVEL GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 234-1891
(203) 234-2678
Mailing address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 234-1891
(203) 234-2678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027733
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001277335
—
CT
01
—
010027733CT02
ANTHEM BCBS
CT
01
—
01227733
CIGNA
CT
01
—
027733
CTCARE
CT
01
—
0478961
AETNA
CT
01
—
061535742
UNITED HEALTHCARE
CT
01
—
0Q1460
HEALTHNET
CT
01
—
110180190
RAILROAD MEDICARE
CT
01
—
P498960
OXFORD
CT
Enumeration date
06/19/2006
Last updated
09/11/2008
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