Individual
SHIRA SIMONE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 SOUTH AVE, GARWOOD, NJ 07027-1312
(908) 789-0101
(908) 789-1938
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00594200
NJ
Other
Enumeration date
12/05/2006
Last updated
12/25/2009
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