DAVID GOLDENBERG MD
Physician/surgeon


Address: 9 St Ronan Terrace, New Haven, CT 06511

DAVID GOLDENBERG MD (Credential# 551236) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 27, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.

Business Overview

DAVID GOLDENBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033637. The credential type is physician/surgeon. The effective date is January 27, 1997. The expiration date is March 31, 1998. The business address is 9 St Ronan Terrace, New Haven, CT 06511. The current status is inactive.

Basic Information

Licensee Name DAVID GOLDENBERG MD
Credential ID 551236
Credential Number 1.033637
Credential Type Physician/Surgeon
Business Address 9 St Ronan Terrace
New Haven
CT 06511
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-04-08
Effective Date 1997-01-27
Expiration Date 1998-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
164269 CSP.0022226 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 9 ST RONAN TERRACE
City NEW HAVEN
State CT
Zip Code 06511

Licenses in the same zip code

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Montessori School On Edgewood Inc. 230 Edgewood Avenue, New Haven, CT 06511 Public Charity 2019-06-01 ~ 2020-05-31
Therese Parks · Visel Drug Store 264 Munson St, New Haven, CT 06511 Registered Nurse 2020-07-01 ~ 2021-06-30
Dazjia Monet Green 115 Edgewood Ave Apt 64, New Haven, CT 06511 Registered Nurse 2020-06-27 ~ 2021-05-31
Carol Yam 343 Humphrey St, New Haven, CT 06511 Registered Nurse ~
Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mary Lou Gaeta Md 558 Chapel Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
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Competitor

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City NEW HAVEN
Zip Code 06511
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW HAVEN

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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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