PHILIP A GOLDBERG MD
Controlled Substance Registration for Practitioner


Address: 688 East Main Street, Branford, CT 06405

PHILIP A GOLDBERG MD (Credential# 215229) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

PHILIP A GOLDBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028370. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 688 East Main Street, Branford, CT 06405. The current status is active.

Basic Information

Licensee Name PHILIP A GOLDBERG MD
Credential ID 215229
Credential Number CSP.0028370
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 688 East Main Street
Branford
CT 06405
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-06-10
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
555338 1.037748 Physician/Surgeon 1999-05-21 2020-02-01 - 2021-01-31 ACTIVE

Office Location

Street Address 688 EAST MAIN STREET
City BRANFORD
State CT
Zip Code 06405

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
East Shore District Health Department 688 East Main Street, Branford, CT 06405 Outpatient Clinic 2017-10-27 ~ 2021-09-30
Kayla Ennis Cunningham 688 East Main Street, Branford, CT 06405-2988 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Raymond M Johnson 39 Bayberry Lane, Branford, CT 06405 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kirsten M Ranciato 288 East Main Street, Branford, CT 06405 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Bimala Khadka Thapa 726 Robert Frost Dr., Branford, CT 06405 Nail Technician ~
Paul E Basile 42 Valley Brook Road South, Branford, CT 06405 Perfusionist 2020-08-01 ~ 2021-07-31
Lupe Monica Placencia-muy 100 East Main Street 2nd Fl, Branford, CT 06405 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-02-28
Bridget J Jennings 159 Queach Road, Branford, CT 06405 Registered Nurse 2020-09-01 ~ 2021-08-31
Ujeli Acharya 21 Burban Drive, Branford, CT 06405 Nail Technician ~
Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
Gita Thapa 94 Village Lane, Branford, CT 06405 Nail Technician ~
Cycle Venture Partners Fund I Lp - Lumeda Series 1 50 Limewood Avenue, Branford, CT 06405 Securities - Exemptions 2020-06-17 ~
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Competitor

Search similar business entities

City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

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Daniel E Goldberg 69 Sand Pit Rd, Danbury, CT 06810 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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