Individual
DR. GERALD M GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 BROOKSIDE LANE, BOX 1272, STOCKBRIDGE, MA 01262
(508) 879-6606
(508) 879-6618
Mailing address
2 BROOKSIDE LANE, P.O BOX 1272, STOCKBRIDGE, MA 01262
(508) 879-6606
(508) 879-6618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10574
MA
Other
Enumeration date
11/08/2005
Last updated
07/14/2014
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