Goldstein, Ira Morris

Goldstein, Ira Morris is an individual health care provider with primary practice located at 90 Bergen St Doc 8100, Newark NJ 07103-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Goldstein, Ira Morris can be contacted via phone (973) 972-2323.

Contact Information

Primary practice address
90 Bergen St Doc 8100 Newark NJ 07103-2425
Fax: (973) 972-2333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 25MA07767200 New Jersey

Profile Details

NPI number 1427088590
LBN Legal business name Goldstein, Ira Morris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated May 31st, 2022 - about 2 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 1427088590 NPPES
New Jersey MEDICAID 0043770

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