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Aviva Goldberg
Family Nurse Practitioner in Lakewood, New Jersey
NPI 1225680580

Aviva Goldberg is a Family Nurse Practitioner based in Lakewood, NJ and is specialized in Family. Aviva Goldberg practices in Lakewood, NJ. The NPI Number for Aviva Goldberg is 1225680580 and holds a License No. 26NJ00881200 (New Jersey).

The current practice location address for Aviva Goldberg is 450 E Kennedy Blvd, Lakewood, NJ and can be reached out via phone at 732-901-0050.

Location: 450 E Kennedy Blvd, Lakewood, NJ, 08701-1488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225680580
Provider Name
Aviva Goldberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
450 E Kennedy Blvd, Lakewood, NJ, 08701-1488
Phone Number
732-901-0050
Fax Number
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
450 E Kennedy Blvd
City
Lakewood
State
New Jersey
Zip
08701-1488
Phone Number
732-901-0050
Fax Number
person
Provider Business Mailing Address Details
Address
450 E Kennedy Blvd
City
Lakewood
State
New Jersey
Zip
08701-1488
Phone Number
732-901-0050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ00881200 (New Jersey)
Definition
Definition to come...
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