Individual
DANIEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
464 CONGRESS AVE STE 260, NEW HAVEN, CT 06519-1362
(203) 785-4404
Mailing address
7 BEACHSIDE CMN, WESTPORT, CT 06880-6243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5615
CT
Other
Enumeration date
08/28/2020
Last updated
03/10/2022
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