Individual
DR. STANLEY GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, GI ENDOSCOPY, BUILDING ONE, 2-SOUTH, BRONX, NY 10461-1138
(718) 918-5653
(718) 918-5649
Mailing address
100 CHESTER PL, ENGLEWOOD, NJ 07631-3634
(201) 871-9138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
181178
NY
207RG0100X
Gastroenterology Physician
Primary
181178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01404902
—
NY
Enumeration date
11/07/2006
Last updated
05/05/2015
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