License holder summary

GOLDBERG THEODORE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for GOLDBERG THEODORE is PORT JEFFERSON STAT NY. This doctor license is current. The license was granted 11/02/1972 and expired on 07/31/2016.

New York

Office of the Professions

GOLDBERG THEODORE
Medicine (Physician, Including M Ds & D Os)
License number
114421
Date granted
11/02/1972
Date expires
07/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
PORT JEFFERSON STAT NY
nymedicine.org
ID 30152922
LAST UPDATED 2024-03-31 02:48:28 UTC

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