Provider Demographics
NPI:1932236395
Name:GOLDBERG, SARAH B (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:GOLDBERG
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Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:FMP-130, P.O. BOX 208032
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8032
Mailing Address - Country:US
Mailing Address - Phone:203-785-7564
Mailing Address - Fax:203-785-3788
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:FMP-130
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8032
Practice Address - Country:US
Practice Address - Phone:203-785-7564
Practice Address - Fax:203-785-3788
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT51265207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology