MR. PAUL B GOLDBERG MD

Allergy and Immunology

Bridgeport, Connecticut

Provider NPI: 1710971619

Provider Information:
MR. PAUL B GOLDBERG MD


Practice Location:
4641 MAIN ST  BRIDGEPORT, CT 06606 US
Tel: 203-371-6060  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	CT	020804

Other Provider Identifiers:

Issuer	Number	State	Type
	1208040	CT	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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