31D0120662 CLIA NUMBER - ROBERT M GOLDBERG MD PA

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Laboratory Demographics

CLIA Number: 31D0120662

Facility Name: ROBERT M GOLDBERG MD PA

Facility Address:
727 SHORE ROAD
SOMERS POINT, NJ
ZIP 08244
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Facility Phone Number: 609 927-3772

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1215054168

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	31D0120662
LAB Type	Physician Office
Facility Name	ROBERT M GOLDBERG MD PA
Street	727 SHORE ROAD
City	SOMERS POINT
State	NJ
ZIP	08244
Phone	609 927-3772
CertificateType	2
CertificateEffectiveDate	5/15/2023
CertificateExpirationDate	5/14/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024