Dr. Jeffrey R Goldberg, MD
Family Medicine in Bristol, Connecticut
1093723983- Practice location
- 25 Collins Road, Bristol, CT 06010
- Phone
- 860-589-8882
- Fax
- 860-585-8898
- Last updated
- July 8, 2007
Jeffrey R Goldberg is a Family Medicine based in Bristol, CT. Jeffrey R Goldberg practices in Bristol, CT and has the professional credentials of MD. The NPI Number for Jeffrey R Goldberg is 1093723983 and holds a License No. 036141 (CT). The current practice location address for Jeffrey R Goldberg is 25 Collins Road, Bristol, CT 06010 and can be reached out via phone at 860-589-8882 and via fax at 860-585-8898.
Provider Profile Details
- NPI Number
- 1093723983
- Provider Name
- Jeffrey R Goldberg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Collins Road, Bristol, CT 06010
- Phone Number
- 860-589-8882
- Fax Number
- 860-585-8898
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Collins Road
Bristol, CT 06010 - City
- Bristol
- State
- Connecticut
- Zip
- 06010
- Phone Number
- 860-589-8882
- Fax Number
- 860-585-8898
Provider Business Mailing Address Details
- Address
- 4 Farm Springs Road
Prohealth Physicians INC
Farmington, CT 06032-2573 - City
- Farmington
- State
- CT
- Zip
- 06032-2573
- Phone Number
- 860-284-5200
- Fax Number
- 860-284-5333
License Information
- License Number
- 036141
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jeffrey R Goldberg, MD?
The NPI number of Dr. Jeffrey R Goldberg, MD is 1093723983. It was assigned on August 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeffrey R Goldberg, MD?
Dr. Jeffrey R Goldberg, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 036141.
Where does Dr. Jeffrey R Goldberg, MD practice?
The practice location is 25 Collins Road, Bristol, CT 06010. The office can be reached at 860-589-8882 (phone) or 860-585-8898 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093723983 directly on the NPPES registry website.