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Individual

DR. ERIC JAY GOLDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 757-6310
Mailing address
9923 TANGLEWOOD CT, MUNSTER, IN 46321-3840
(219) 616-3484

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01073971A
IN

Other

Enumeration date
04/19/2012
Last updated
08/08/2015
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