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Theodore Goldberg, MD
Obstetrics Physician in Port Jefferson Station, New York
NPI 1750468435

Theodore Goldberg is a Obstetrics Physician based in Avon, NY and is specialized in Obstetrics. Theodore Goldberg practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Theodore Goldberg is 1750468435 and holds a License No. 114421 (New York).

The current practice location address for Theodore Goldberg is 12 Medical Dr, Port Jefferson Station, NY and can be reached out via phone at 631-331-4400.

Location: 12 Medical Dr, Port Jefferson Station, NY, 06001-2066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750468435
Provider Name
Theodore Goldberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Medical Dr, Port Jefferson Station, NY, 06001-2066
Phone Number
631-331-4400
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776-1588
Phone Number
631-331-4400
Fax Number
person
Provider Business Mailing Address Details
Address
12 Medical Dr
City
Port Jefferson Station
State
New York
Zip
11776-1588
Phone Number
631-331-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
114421 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
114421 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
114421 (New York)
Definition
Definition to come...
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