SearchNew YorkObstetrics & Gynecology Physician

Theodore Goldberg, M.D

NPI 1750468435 · on the registry since 2006

Practice

Address
12 Medical Dr
Port Jefferson Station, NY 11776
Phone
(631) 331-4400
Organisation at this address
Port Jefferson Pediatrics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Obstetrics & Gynecology Physician
207V00000X
Also registered as
Gynecology Physician
Obstetrics Physician
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York