Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | GOLDBERG, CHARLES S. · Goldberg, Charles S. | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1164443958 | [sources] | |||
Sector | Doctor (MD, DO) · MD | [sources] | |||
Status | not available | [sources] | |||
Address | FCI-OTISVILLE, PO BOX 1000, OTISVILLE, NY 10963 · West Orange, NJ 10963 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Medical providers excluded from South Carolina's Medicaid program.
United States · SCDHHS
us-medsc-56075b452d5b4e126ff0d8e4e85cf5e6ca925417
· us-mednj-f4241aa6ac2610b9ed522c41f49f58b804694693
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
FCI OTISVILLE, PO BOX 1000, OTISVILLE, NY 10963 · FCI-OTISVILLE, PO BOX 1000, OTISVILLE, NY 10963 | United States |