Daniel Goldberg, PA-C
Physician Assistant in New Haven, CT. Individual provider (NPI-1).
NPI number1710590807
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1710590807
- Entity type
- Individual (NPI-1)
- Name
- Daniel Goldberg
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Mar 10, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5615 | CT | Yes |
Other names
- Dan Goldberg (Other Name)
Practice location
464 Congress Ave Ste 260New Haven, CT 06519-1362
Phone 203-785-4404
Mailing address
7 Beachside CmnWestport, CT 06880-6243
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