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Contact Information

JEFFREY R GOLDBERG, MD
25 COLLINS ROAD
BRISTOL, CT06010
 Phone: 860-589-8882
 Fax: 860-585-8898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JEFFREY R GOLDBERG · (Male)

NPI # 1093723983
Status Active
Credentials MD
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 036141
Hospital affiliation(s)
  • BRISTOL HOSPITAL - (Acute Care)
    BREWSTER RD
    BRISTOL, CT 06010
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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