Goldis Geriatrics Pc

LBN: Goldis Geriatrics Pc
Goldis Geriatrics Pc is an health care organization with primary practice located at 119 E Laurel Rd , Stratford NJ 08084-1324. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Goldis Geriatrics Pc can be contacted via phone (856) 346-3469, or through Goldis, Michael via phone (856) 346-3469.

Contact Information

Primary practice address
119 E Laurel Rd Stratford NJ 08084-1324
Phone: (856) 346-3469
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goldis, Michael Doctor of Medicine (MD)
Phone: (856) 346-3469

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 25MB05768800 New Jersey

Profile Details

NPI number 1114381886
LBN Legal business name Goldis Geriatrics Pc
DBA Doing business as
Authorized official Goldis, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2016
Last updated Apr 8th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114381886 NPPES
New Jersey MEDICAID 6141005

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