BARRY GOLDBERG MD (Credential# 541023) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 3, 2006. The license expiration date date is December 31, 2007. The license status is INACTIVE.
BARRY GOLDBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014239. The credential type is physician/surgeon. The effective date is November 3, 2006. The expiration date is December 31, 2007. The business address is 17 Hillhouse Ave, New Haven, CT 06520. The current status is inactive.
Licensee Name | BARRY GOLDBERG MD |
Credential ID | 541023 |
Credential Number | 1.014239 |
Credential Type | Physician/Surgeon |
Business Address |
17 Hillhouse Ave New Haven CT 06520 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1969-12-22 |
Effective Date | 2006-11-03 |
Expiration Date | 2007-12-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152954 | CSP.0005552 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-09-01 - 1998-02-28 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barry Goldberg Md | Director of Sports Medicine, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Street Address | 17 HILLHOUSE AVE |
City | NEW HAVEN |
State | CT |
Zip Code | 06520 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lindsay M Huston Md | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
Carol L Morrison | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Grace Chang | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1984-07-05 ~ 1992-02-29 |
Mary S Webb | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 1982-07-06 ~ 1989-11-30 |
Harvey M Lederman | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1982-06-18 ~ 1987-05-30 |
Valerie A Omicioli | 17 Hillhouse Ave, New Haven, CT 06500 | Physician/surgeon | 1984-06-04 ~ 1986-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06520 |
City | NEW HAVEN |
Zip Code | 06520 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jana Goldberg | 156 W. 56th Street, New York, NY 08033 | Physician/surgeon | ~ |
Eugene L Goldberg | 186 Old Ridgefield, Wilton, CT 06897 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
Pablo H Goldberg Md | 501 W 110th St Apt 9c, New York, NY 10025-2060 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Richard N Goldberg | 8 Woodland Ln, Berlin, CT 06037-1130 | Physician/surgeon | 2013-05-01 ~ 2013-08-04 |
Sheldon S Goldberg | 2 Medical Ctr Dr, Springfield, MA 01107 | Physician/surgeon | 1993-06-24 ~ 1994-08-31 |
Jeffrey R Goldberg Md | 25 Collins Rd, Bristol, CT 06010 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Arnold R. Goldberg | 61 Brook Rd, Sharon, MA 02067-1415 | Physician/surgeon | 1984-05-01 ~ 1985-05-31 |
Marc Goldberg Md | 605 West Ave, Norwalk, CT 06850 | Physician/surgeon | 1996-05-24 ~ 1997-05-31 |
Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Heidi E Goldberg | P.o.box 7578, Seminole, FL 33775-7578 | Physician/surgeon | 2006-02-23 ~ 2007-03-31 |
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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).