Goldstein, Michael Bruce
Goldstein, Michael Bruce is an individual health care provider with primary practice located at 2301 E Evesham Rd Ste 110 , Voorhees NJ 08043-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goldstein, Michael Bruce can be contacted via phone (856) 772-1600.Contact Information
Primary practice address
2301 E Evesham Rd Ste 110
Voorhees NJ 08043-4502
Phone: (856) 772-1600
Fax: (856) 772-9031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA04219200 | New Jersey |
Profile Details
| NPI number | 1669469581 |
|---|---|
| LBN Legal business name | Goldstein, Michael Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Mar 25th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669469581 | NPPES |
| New Jersey | MEDICAID | 1002104 | |
| New Jersey | Other | P00397513 |
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