Shira Simone Goldberg OD

NPI 1710045497 - Optometrist - 152W00000X

NPI Details
NPI 1710045497
Gender Female
Enumeration Date 12/05/2006
Last Updated 12/25/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
GARWOOD NJ, 07027-1312, US
Phone (908) 789-0101
Fax (908) 789-1938
Business Location
11103 WEST AVE
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6509
Fax (210) 524-6587
Taxonomy Code 152W00000X
License State New Jersey
License Number 27OA00594200
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According to our database, Shira Simone Goldberg OD NPI is 1710045497, taxonomy code is 152W00000X and license number is 27OA00594200, license state is located at New Jersey. Shira Simone Goldberg OD physically located at 300 South Ave, Garwood NJ, 07027-1312. NPI Number Shira Simone Goldberg OD has the Individual type.

1710045497 NPI number is provided on an as is basis without warranty of any kind. 1710045497 is maintained by the National Plan & Provider Enumeration System. The contents of Shira Simone Goldberg OD are for informational purposes only.