Whalio Doctors

NPI 1093723983

Jeffrey R Goldberg, MD

Practitioner Family Medicine Physician Bristol, CT

Practice location

Address
25 Collins Road, Bristol, CT 06010
Phone
(860) 589-8882
Fax
(860) 585-8898
Mailing address
4 Farm Springs Road Prohealth Physicians INC, Farmington, CT 06032-2573

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036141 (CT)

Registry record

NPI
1093723983
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.