Individual
MR. PAUL B GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4641 MAIN ST, BRIDGEPORT, CT 06606-1827
(203) 371-6060
(203) 371-1977
Mailing address
4641 MAIN ST, BRIDGEPORT, CT 06606-1827
(203) 371-6060
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
020804
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1208040
—
CT
Enumeration date
09/07/2005
Last updated
06/04/2012
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