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Contact Information

MARK GOLDBERG, MD
741 NORTHFIELD AVE
STE 205
WEST ORANGE, NJ07052-1174
 Phone: 973-467-1544
 Fax: 973-467-9586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK GOLDBERG · (Male)

NPI # 1114914389
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 50551
  • NJ Medicaid 4580303
  • Other 4340667 AETNA
  • Other 010000352200 AMERICHOICE
  • Other 81670 AMERIGROUP
  • Other 0503191000 AMERIHEALTH
  • Other 6312229006 CIGNA
  • Other 5710571 GHI
  • Other 1K9390 HEALTHNET
  • Other ES474 OXFORD
  • Other 52B941 WELLCHOICE
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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