Provider Demographics
NPI:1801064720
Name:GOLDBERG, CINDY LARA (MD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:LARA
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-1525
Mailing Address - Country:US
Mailing Address - Phone:203-899-1770
Mailing Address - Fax:203-899-1769
Practice Address - Street 1:120 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-1525
Practice Address - Country:US
Practice Address - Phone:203-899-1770
Practice Address - Fax:203-899-1769
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2011-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT046160208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases