| Organization Name: | RICHARD N. GOLDBERG, M.D., P.C. |
| NPI Number: | 1386957819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD N. GOLDBERG (OWNER) |
| Mailing Address: | 211 New Britain Rd Ste 206 Kensington |
| State: | CT US |
| Postal Code: | 060373168 |
| Phone Number: | 8608328808 |
| Fax Number: | 8608278565 |
| NPI Enumeration Date: | 07/26/2010 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |