person
Dr. Neil Ellis Goldberg, DPM
Primary Podiatric Medicine Podiatrist in South Orange, New Jersey
NPI 1538100185

Neil Ellis Goldberg is a Primary Podiatric Medicine Podiatrist based in Livingston, NJ and is specialized in Primary Podiatric Medicine. Neil Ellis Goldberg practices in South Orange, NJ and has the professional credentials of DPM. The NPI Number for Neil Ellis Goldberg is 1538100185 and holds a License No. 25MD00103900 (New Jersey).

The current practice location address for Neil Ellis Goldberg is 228 S Orange Ave, South Orange, NJ and can be reached out via phone at 973-762-9060 and via fax at 973-762-5056.

Location: 228 S Orange Ave, South Orange, NJ, 07039-2118
person
Provider Profile Details
NPI Number
1538100185
Provider Name
Neil Ellis Goldberg
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
228 S Orange Ave, South Orange, NJ, 07039-2118
Phone Number
973-762-9060
Fax Number
973-762-5056
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0857602 05 NJ
institution
Provider Business Practice Location Address Details
Address
228 S Orange Ave
City
State
Zip
07079-2202
Phone Number
973-762-9060
Fax Number
973-762-5056
person
Provider Business Mailing Address Details
Address
228 S Orange Ave
City
State
Zip
07079-2202
Phone Number
973-762-9060
Fax Number
973-762-5056
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
25MD00103900 (New Jersey)
Definition
Definition to come...
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