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Individual

STEVEN A GOLDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3238
(860) 679-0161
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-3238
(860) 679-0161

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
025355
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001253558
CT
01
010025355CT01
BLUE CROSS BLUE SHIELD
CT
01
050425
CONNECTICARE
CT
Enumeration date
09/11/2006
Last updated
09/29/2022
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