Individual provider · Type 1 NPI

Theodore Goldberg, MD

Obstetrics & Gynecology Physician · Port Jefferson Station, NY

NPI number 1750468435 Active

Practice location

12 Medical Dr
Port Jefferson Station, NY 11776-1588

Call (631) 331-4400 Map

Mailing address

22 Waterville Rd
Avon, CT 06001-2066

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X114421 (NY)
Gynecology Physician 207VG0400X114421 (NY)
Obstetrics Physician 207VX0000X114421 (NY)

Obstetrics & Gynecology Physician: 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.

6 other providers at this address

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About NPI 1750468435

Theodore Goldberg, MD's National Provider Identifier is 1750468435, issued on Nov 1, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Sep 10, 2009.