DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE GOLDBERG, M.D.

Active

THEODORE GOLDBERG, M.D. is a Obstetrics & Gynecology healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1750468435 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1750468435
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.811262390688 yrs)
Last Updated
Sep 10, 2009
Licenses
114421 (NY)
114421 (NY)
114421 (NY)

Practice Information

Address
12 MEDICAL DR
PORT JEFFERSON STATION, NY, 117761588
Browse NY providers · Browse ZIP 11776
Phone
6313314400
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Gynecology
Additional Specialty
Obstetrics

Other Obstetrics & Gynecology Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
DR. JERRY NINIA M.D. 1457350795
DR. DANA L BRENNER MD 1902850878
GUSTAVO SANROMAN M.D. 1619917960
DR. THOMAS P. ERHART D.O. 1508891425
DREUX PATTON M.D. 1699852384
DR. FARZANA MOHAMED GARCIA DO 1891130902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.