Goldis, Michael E

Goldis, Michael E is an individual health care provider with primary practice located at 119 Laurel Rd E , Stratford NJ 08084-1324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Goldis, Michael E can be contacted via phone (856) 346-3469.

Contact Information

Primary practice address
119 Laurel Rd E Stratford NJ 08084-1324
Fax: (856) 346-9456
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MB57688 New Jersey

Profile Details

NPI number 1982603247
LBN Legal business name Goldis, Michael E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982603247 NPPES
New Jersey MEDICAID 6141005

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