THEODORE GOLDBERG, M.D.

Obstetrics & Gynecology

Active Individual
NPI: 1750468435

Practice Address

12 MEDICAL DR
Port Jefferson Station, NY 11776

Phone: (631) 331-4400

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X Yes 114421 (NY)
Obstetrics & Gynecology - Gynecology 207VG0400X No 114421 (NY)
Obstetrics & Gynecology - Obstetrics 207VX0000X No 114421 (NY)

Frequently Asked Questions

NPI 1750468435 is the National Provider Identifier for THEODORE GOLDBERG, M.D., a Obstetrics & Gynecology provider located in Port Jefferson Station, NY. This NPI was enumerated on November 1, 2006.
THEODORE GOLDBERG, M.D. practices at 12 MEDICAL DR, Port Jefferson Station, NY 11776.

Quick Facts

NPI
1750468435
Type
Individual
Enumerated
Nov 1, 2006
Last Updated
Sep 10, 2009

Nearby Providers