Mark Goldenberg, DC
Individual provider Active NPI Neurology Chiropractor · Weston, CT
NPI 1508196197 · NPPES record last updated Jan 5, 2010
Key facts
- NPI
- 1508196197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- 529 (CT)
- Practice address
- 38 Old Orchard Dr
Weston, CT 06883-1309 - Phone
- (203) 557-3014
- NPI assigned
- Jan 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529 | CT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 529 | CT | Yes |
Addresses
Primary practice location
38 Old Orchard Dr
Weston, CT 06883-1309
Mailing address
38 Old Orchard Dr
Weston, CT 06883-1309
Other providers in Weston, CT
- Kathleen B Fitzgerald
- Formula for Performance & Rehab, LLC
- Michele Anderson Friedman
- Ann Garvey
- Luke T Garvey
- Katherine Ann Griffin
- William A Grodman
- Yuliya Rybatskaya Gronowetter
- Harry J Brown MDPC
- Heather Rosenbaum Therapy Services
All providers in Weston, CT · Neurology Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.