Goldstein, Marc
Goldstein, Marc is an sole proprietor health care provider with primary practice located at 8100 Kennedy Blvd , North Bergen NJ 07047-4254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Goldstein, Marc can be contacted via phone (201) 866-6770.Contact Information
Primary practice address
8100 Kennedy Blvd
North Bergen NJ 07047-4254
Phone: (201) 866-6770
Fax: (201) 866-6771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB03186200 | New Jersey |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MB03186200 | New Jersey |
Profile Details
NPI number | 1770569568 |
---|---|
LBN Legal business name | Goldstein, Marc |
Credentials | D.O.C.M.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770569568 | NPPES |
New Jersey | MEDICAID | 2254808 | |
New Jersey | Other | D01987900 | |
New Jersey | Other | MB03186200 |
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